Individual
MR. TARIK J WASFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1127 VILLA LINDE CT, FLINT, MI 48532-3410
(810) 720-2710
(810) 720-5230
Mailing address
1127 VILLA LINDE CT, FLINT, MI 48532-3410
(810) 720-2710
(810) 720-5230
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
TW056701
MI
2086S0102X
Surgical Critical Care Physician
4301056701
MI
2086S0127X
Trauma Surgery Physician
Primary
4301056701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2753137
—
MI
Enumeration date
11/03/2005
Last updated
06/04/2021
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