Individual
MANAL OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
Mailing address
44701 FENWICK DR, CANTON, MI 48188-3245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021707
MI
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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