Individual
AYAT GHOSN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
22250 PROVIDENCE DR STE 301A&B, SOUTHFIELD, MI 48075-4825
(248) 849-3281
Mailing address
22250 PROVIDENCE DRIVE SUITE #301, SOUTHFIELD, MI 48075-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351044911
MI
Other
Enumeration date
04/24/2019
Last updated
10/10/2024
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