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Family Medicine · Dearborn, MI

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At a glance

6450 Maple, Dearborn, MI 48126

NPPES record updated Apr 1, 2024. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

6450 Maple
Dearborn, MI 48126
Professional details: NPI, taxonomy & registry record
NPI1760682371
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Registry details

Primary taxonomy
Family Medicine
Taxonomy code
207Q00000X
Enumeration date
Jul 21, 2007
Record updated
Apr 1, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

Internal Medicine

207R00000X

Specialty details in registry

207RI0200X

License reported: 4301087179 MI

Pediatrics

208000000X

Pediatrics

208000000X

License reported: 4301067792 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6450 Maple
Dearborn, MI 48126
Phone
(313) 216-2230
Fax
(313) 584-3206
Mailing address
2651 SAULINO CT

DEARBORN, MI 48209
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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