Individual
SUMMAR FAHDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6512 KINGSBURY ST, DEARBORN HEIGHTS, MI 48127-2119
(913) 314-1410
Mailing address
6512 KINGSBURY ST, DEARBORN HEIGHTS, MI 48127-2119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704326130
MI
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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