Individual
MONA T SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4254
Mailing address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301072636
MI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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