Healthcare Provider Details

I. General information

NPI: 1922848571
Provider Name (Legal Business Name): PHRONESIS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BARCLAY CIR STE 120
ROCHESTER HILLS MI
48307-5803
US

IV. Provider business mailing address

587 PARKLAND HILLS DR
ROCHESTER MI
48306-1769
US

V. Phone/Fax

Practice location:
  • Phone: 248-963-0555
  • Fax:
Mailing address:
  • Phone: 203-393-6724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED MAZEN SALEH
Title or Position: CEO
Credential: MD
Phone: 203-393-6724