Individual
DR. FAWAZ E HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8273 S SAGINAW ST STE C, GRAND BLANC, MI 48439-2465
(810) 695-6565
(810) 695-9476
Mailing address
8273 S SAGINAW ST, STE 8, GRAND BLANC, MI 48439-2465
(810) 695-6565
(810) 695-9476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4675100
—
MI
Enumeration date
10/03/2006
Last updated
08/26/2022
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