Organization
M. HAITHAM AL-MIDANI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD HAITHAM AL-MIDANI M.D. (PHYSICIAN / OWNER)
(810) 743-0680
Entity
Organization
Contact information
Practice address
4050 WALLI STRASSE DR, BURTON, MI 48509-1727
(810) 743-0680
Mailing address
4050 WALLI STRASSE DR, BURTON, MI 48509-1727
(810) 743-0680
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301037021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02500611
BLUE CROSS BLUE SHIELD
MI
01
—
1002512771
BLUE CARE NETWORK
MI
01
—
1100661
HEALTHPLUS
MI
05
—
1388637
—
MI
01
—
C2751
MCARE
MI
Enumeration date
10/17/2007
Last updated
11/05/2007
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