Organization
FAYEZ SHUKAIRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MARIE WRIGHT CPC (MANAGER)
(248) 887-6997
Entity
Organization
Contact information
Practice address
1050 S MILFORD RD, SUITE 105, HIGHLAND, MI 48357-4878
(248) 887-6997
(248) 889-2696
Mailing address
1050 S MILFORD RD, SUITE 105, HIGHLAND, MI 48357-4878
(248) 887-6997
(248) 889-2696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115509
—
MI
Enumeration date
05/26/2010
Last updated
11/22/2022
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