OrganizationActive
Dearborn Allergy & Asthma Clinic PC
NPI 1477545200 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Dearborn, MI
Provider details
- NPI number
- 1477545200
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Short, Office Manager(313) 565-3565
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20200 Outer Dr
Dearborn, MI 48124-2634
Phone: (313) 565-3565
Fax: (313) 565-7723
Approximate (ZIP-level) locationGet directions
Mailing address
20200 Outer Dr
Dearborn, MI 48124-2634
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2012-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.