Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704276037 | MI |
NPI | 1033416227 |
---|---|
Provider Name | Dr. Tarek Albitar |
First Address | Chesterfield, MI 48047-3361 |
Second Address | Clinton Twp, MI 48036-1189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2011 |
Last Update Date | 04/04/2017 |