Individual
MANAF MADOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(586) 552-0269
(586) 279-0833
Mailing address
28925 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1272
(586) 552-0269
(586) 279-0833
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301073570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48429566
—
MI
01
—
MM073570
BCBSM
MI
Enumeration date
07/12/2005
Last updated
10/23/2020
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