Individual
DR. LAITH ANASTAS FARJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 GENOA BUSINESS PARK DR, SUITE 170, BRIGHTON, MI 48114-7367
(810) 299-8550
(810) 844-0837
Mailing address
2305 GENOA BUSINESS PARK DR., SUITE 170, BRIGHTON, MI 48114-7367
(810) 299-8550
(810) 844-0837
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LF073669
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
LF073669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4379981
—
MI
Enumeration date
03/17/2006
Last updated
06/28/2021
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