Individual
DR. JASON J RIZQALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47601 GRAND RIVER AVE # B136, NOVI, MI 48374
(248) 465-3940
(248) 465-3941
Mailing address
47601 GRAND RIVER AVE # B136, NOVI, MI 48374-1233
(248) 465-3940
(248) 465-3941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301101552
MI
Other
Enumeration date
07/21/2012
Last updated
09/06/2018
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