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Individual

MR. SHAKER HANNA HADDAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301048228
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093788069
MI
01
4301048228
CONTROLLED SUBSTANCE LIC.
MI
Enumeration date
02/09/2006
Last updated
04/12/2016
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