Individual
DR. MAJED NOUNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1075 SUNCREST DR, SUITE C, LAPEER, MI 48446-4403
(810) 667-7333
(810) 660-8133
Mailing address
1075 SUNCREST DR, SUITE C, LAPEER, MI 48446-4403
(810) 667-7333
(810) 660-8133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091738
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301091738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-558-587-2
ECFMG
—
01
—
4301091738
MI STATE LICENSE
MI
01
—
MI6406001
MEDICARE PTAN
MI
Enumeration date
05/10/2006
Last updated
03/07/2023
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