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Organization
HISHAM I AHMED MD PLLC
Active
Organization
HISHAM I AHMED MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM I AHMED MD (OWNER)
(810) 348-7178
Entity
Organization
Contact information
Practice address
1457 SUNCREST DR, LAPEER, MI 48446-1151
(810) 348-7178
Mailing address
8035 WOODSTONE DR, GRAND BLANC, MI 48439-7096
(810) 348-7178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076402
MI
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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