Individual
FIZZA AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 727-5209
Mailing address
1765 WINDING RD APT 109, MUSKEGON, MI 49444-9813
(929) 375-7748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1212353-14861
MI
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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