Individual
JOUDAT DAOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
356 E CHICAGO ST, COLDWATER, MI 49036-2057
(517) 279-7793
(517) 279-7569
Mailing address
356 E CHICAGO ST, COLDWATER, MI 49036-2057
(517) 279-7793
(517) 279-7569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054095
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101991009
—
MI
01
—
1101200192
BCBS
MI
01
—
1101210311
BCBS
MI
Enumeration date
05/30/2006
Last updated
07/08/2010
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