Qais Radaideh M.D.

NPI 1063829844 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063829844
Gender Male
Enumeration Date 07/14/2014
Last Updated 07/14/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2 HURLEY PLZ
FLINT MI, 48503-5903, US
Phone (401) 662-5799
Fax
Business Location
2019 FOX HILL DR
APT. 11
GRAND BLANC MI, 48439-5206, US
Phone (401) 662-5799
Fax
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 43011005560
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According to our database, Qais Radaideh M.D. NPI is 1063829844, taxonomy code is 390200000X and license number is 43011005560, license state is located at Michigan. Qais Radaideh M.D. physically located at 2 Hurley Plz, Flint MI, 48503-5903. NPI Number Qais Radaideh M.D. has the Individual type.

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1063829844 NPI number is provided on an as is basis without warranty of any kind. 1063829844 is maintained by the National Plan & Provider Enumeration System. The contents of Qais Radaideh M.D. are for informational purposes only.