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Individual

MIRIAM AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8806
Mailing address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351045599
MI

Other

Enumeration date
06/25/2019
Last updated
07/14/2019
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