Individual
DR. MAIS BADWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3518
(313) 993-0525
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3518
(313) 993-0525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288519
IL
183500000X
Pharmacist
5302040155
MI
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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