Individual
AMINA NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
4621 WILLOW COVE BLVD, APT G9, ALLEN PARK, MI 48101-3263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094876
MI
Other
Enumeration date
07/05/2009
Last updated
07/05/2009
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