Organization
MIRNA FARHAT MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRNA FARHAT MD (OWNER/PHYSICIAN)
(313) 600-6838
Entity
Organization
Contact information
Practice address
1537 MONROE ST, DEARBORN, MI 48124-2842
(313) 789-7189
(313) 789-7188
Mailing address
4589 WESTLAND ST, DEARBORN, MI 48126-2834
(313) 600-6838
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301089788
MI
Other
Enumeration date
10/24/2015
Last updated
12/17/2015
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