Individual
DR. MEDHAT YOUSSEF ZAKHER FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 W ICE LAKE RD, IRON RIVER, MI 49935-8509
(906) 265-9001
Mailing address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 265-6121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301091790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134394661
—
MI
Enumeration date
04/25/2008
Last updated
06/04/2015
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