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Individual

DR. FADL A CHOKR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103228
MI
207QA0505X
Adult Medicine Physician
4301103228
MI

Other

Enumeration date
03/26/2013
Last updated
01/05/2017
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