Individual
NOUR MAKHZOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3030
Mailing address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008005
MI
Other
Enumeration date
12/03/2016
Last updated
02/21/2017
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