Individual
EID TAHSINE EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
14825 SOUTHFIELD RD, ALLEN PARK, MI 48101-2642
(313) 383-7071
Mailing address
6838 HARTWELL ST, DEARBORN, MI 48126-1821
(313) 377-5105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704330225
MI
Other
Enumeration date
02/05/2021
Last updated
02/12/2021
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