Individual
RAED AL GHARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
29433 RYAN RD, WARREN, MI 48092-2203
(586) 574-0500
(586) 574-2694
Mailing address
29433 RYAN RD, WARREN, MI 48092-2203
(586) 574-0500
(586) 574-2694
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400399
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
07/15/2021
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