NPI Details | |
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NPI | 1134194509 |
Enumeration Date | 02/21/2006 |
Last Updated | 07/08/2007 |
Entity Type | Healthcare Provider |
Active | Over 12 years ago |
Authorized Information | |
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Name | FARIDEH R. FARIDEH |
Position | CEO |
Phone | (248) 625-0300 |
Fax | (248) 625-0363 |
Practice Location | |
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6770 DIXIE HWY SUITE 106 CLARKSTON MI, 48346-2087, US |
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Phone | (248) 625-0300 |
Fax | (248) 625-0363 |
Business Location | |
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70 FULTON ST PONTIAC MI, 48341-2755, US |
|
Phone | (248) 338-0300 |
Fax | (248) 338-0663 |
Toxanomy | |
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Taxonomy Code | 2085R0001X |
License State | |
License Number | |
Remove 1134194509 NPI Number |
According to our database, Miro-clarkston NPI is 1134194509, taxonomy code is 2085R0001X Miro-clarkston physically located at 6770 Dixie Hwy, Clarkston MI, 48346-2087. NPI Number 1033115704 has the healthcare provider type.
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1134194509 NPI number is provided on an as is basis without warranty of any kind. 1134194509 is maintained by the National Plan & Provider Enumeration System. The contents of Miro-clarkston are for informational purposes only.
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