Individual
REEM ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
830 N WAVERLY ST, DEARBORN, MI 48128-1630
(131) 380-1011
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704300519
MI
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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