=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487503728
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLAG & STAFF MEDICAL PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2026
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3833 MICHIGAN AVE
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48216-1011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-821-5887
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 31480 DAISY CT
-----------------------------------------------------
City | BROWNSTOWN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48173-8776
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-657-6655
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ALAAEDDINE TALAB
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 313-657-6655
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------