Healthcare Provider Details
I. General information
NPI: 1730150228
Provider Name (Legal Business Name): NABIL WEHBE, DO PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2006
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44000 W 12 MILE RD SUITE 200
NOVI MI
48377-2644
US
IV. Provider business mailing address
44000 W 12 MILE ROAD SUITE 200
NOVI MI
48377
US
V. Phone/Fax
- Phone: 248-347-8191
- Fax: 248-305-6857
- Phone: 248-347-8191
- Fax: 248-305-6857
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NABIL
K
WEHBE
Title or Position: OWNER
Credential: DO
Phone: 734-266-2780