Individual
SEYEDALIREZA FATEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(817) 247-5279
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(817) 247-5279
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4351044731
MI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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