Individual
FARES ALGHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1601
Mailing address
1632 STONE ST, SAGINAW, MI 48602
(989) 583-0000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
04/07/2022
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