Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olive Tree Medical Clinic PC

Organization Family Medicine Physician · NPI 1457660789

Olive Tree Medical Clinic PC is a Family Medicine Physician in Dearborn, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18181 Oakwood Blvd Ste 206
Dearborn, MI 48124-5032
Phone: (313) 451-8253
Fax: (313) 451-8351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X

Record details

NPI number1457660789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sham Juratli — President · (313) 451-8253
NPI enumeratedOctober 5, 2010
Last updated in NPPESNovember 2, 2016
Mailing address18181 Oakwood Blvd, Suite 206, Dearborn, MI 48124-5032

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