Individual
JIRIES AZMI QAQISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE., ST. JOSEPH MERCY - OAKLAND, PONTIAC, MI 48341
(248) 858-6233
Mailing address
44405 WOODWARD AVE., ST. JOSEPH MERCY - OAKLAND, PONTIAC, MI 48341
(248) 858-6233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301501438
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2017
Last updated
03/20/2025
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