Individual
JABER MAWIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5402 BINGHAM ST, DEARBORN, MI 48126-3306
(313) 258-1803
Mailing address
5402 BINGHAM ST, DEARBORN, MI 48126-3306
(313) 258-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007753
MI
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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