# MANAF MADOUN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093023939
- **Authorized official:** MANAF MADOUN MD (OWNER)
- **Authorized official phone:** (586) 790-2909

## Contact information

- **Practice address:** 35740 HARPER AVE, CLINTON TWP, MI 48035-3212
- **Practice address phone:** (586) 790-2909
- **Mailing address:** 35740 HARPER AVE, CLINTON TWP, MI 48035-3212
- **Mailing address phone:** (586) 790-2909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010