NPI 1023211422
Warren Gastroenterology PC
Practice location
- Address
- 27560 Hoover Rd, Warren, MI 48093-4505
- Phone
- (586) 757-6400
- Fax
- (586) 757-8400
- Mailing address
- PO Box 1920, Troy, MI 48099-1920
Authorised official
- Name
- Ghaith M Ibrahim
- Title
- President
- Phone
- (586) 757-6400
Registered specialties (2)
Gastroenterology Physician
Primary
Internal Medicine Physician
Registry record
- NPI
- 1023211422
- Entity type
- Organization
- NPI issued
- 6 Jun 2007
- Record last updated
- 16 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.