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Organization
RIAD R. HAJJAR MD PC
Active
Organization
RIAD R. HAJJAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KLANN (OFFICE MANAGER)
(810) 966-9556
Entity
Organization
Contact information
Practice address
1201 STONE ST, STE 5, PORT HURON, MI 48060-3563
(810) 966-9556
(810) 966-4898
Mailing address
1201 STONE ST, STE 5, PORT HURON, MI 48060-3563
(810) 966-9556
(810) 966-4898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RH066725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207R00000X
TAXONOMY CODE
MI
05
—
4263408
—
MI
01
—
D5959
PALMETTO GBA-RAILROAD MED
—
Enumeration date
07/05/2007
Last updated
12/17/2009
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