Individual
ROUCHDI M RIFAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30603 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7729
(248) 723-9370
(248) 723-9687
Mailing address
30603 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7729
(248) 723-9370
(248) 723-9687
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301047649
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301047649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301047649
LICENSE
MI
Enumeration date
12/26/2006
Last updated
02/28/2009
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