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Organization

GI DIAGNOSTIC CENTER WATERFORD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAFIUL HASAN M.D. (OWNER)
(248) 682-4900
Entity
Organization

Contact information

Practice address
4000 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328-2167
(248) 682-4900
(248) 682-4909
Mailing address
4000 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328-2167
(248) 682-4900
(248) 682-4909

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/29/2007
Last updated
04/17/2008
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