Healthcare Provider Details

I. General information

NPI: 1881404713
Provider Name (Legal Business Name): SAAD MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 E WEST MAPLE RD
WALLED LAKE MI
48390-3571
US

IV. Provider business mailing address

1038 E WEST MAPLE RD
WALLED LAKE MI
48390-3571
US

V. Phone/Fax

Practice location:
  • Phone: 313-410-6594
  • Fax:
Mailing address:
  • Phone: 313-410-6594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONZER SAAD
Title or Position: PRESIDENT OF COMPANY
Credential: DO
Phone: 313-410-6594