Individual
EBRAHIM ABDELRAZZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 W KING ST STE J, OWOSSO, MI 48867-2100
(989) 729-4071
Mailing address
802 W KING ST STE J, OWOSSO, MI 48867-2100
(989) 729-4071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112924
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301500822
MI
Other
Enumeration date
07/03/2017
Last updated
01/29/2025
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