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Individual

ASMA NUSRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
044042
GA
207ZP0101X
Anatomic Pathology Physician
Primary
4301106660
MI

Other

Enumeration date
05/08/2006
Last updated
02/10/2015
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