Individual
LEELA MIRAFZALI HAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7300 DEXTER ANN ARBOR RD STE 110, DEXTER, MI 48130-8598
(734) 936-4054
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301117588
MI
Other
Enumeration date
03/31/2015
Last updated
10/08/2020
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