Healthcare Provider Details

I. General information

NPI: 1386680502
Provider Name (Legal Business Name): ADVANCED MEDICAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4132 SCHAEFER RD
DEARBORN MI
48126-3683
US

IV. Provider business mailing address

10140 W VERNOR HIGHWAY
DEARBORN MI
48120
US

V. Phone/Fax

Practice location:
  • Phone: 313-849-3100
  • Fax: 313-899-7099
Mailing address:
  • Phone: 313-849-3100
  • Fax: 313-899-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SALEH MUSLAH
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 313-849-3100