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GHIULSER SELIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893
Mailing address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059739
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0331120
BCBS
MI
05
4565575
MI
Enumeration date
02/08/2006
Last updated
08/01/2023
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