Individual
IMAD ISSAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6122 W PIERSON RD, UNIT 1, FLUSHING, MI 48433-3104
(810) 600-3399
(810) 600-3398
Mailing address
6122 W PIERSON RD, UNIT 1, FLUSHING, MI 48433-3104
(810) 600-3399
(810) 600-3398
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301406524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042237
HEALTH PLUS
—
05
—
1174590228
—
MI
Enumeration date
03/07/2006
Last updated
06/03/2016
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