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Organization
SAMIR EZZAT MD PLLC
Active
Organization
SAMIR EZZAT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR EZZAT MD (PROVIDER)
(734) 536-1853
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
PO BOX 511170, LIVONIA, MI 48151-7170
(734) 536-1853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079804
MI
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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