Individual
MR. SHAKER HANNA HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12813 W WARREN AVE, DEARBORN, MI 48126-1532
(313) 581-8090
Mailing address
12813 W WARREN AVE, DEARBORN, MI 48126-1532
(313) 581-8090
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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