Individual
DR. RANA TAWIL MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 876-2662
Mailing address
1799 THOMAS AVE, BERKLEY, MI 48072-1030
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301081881
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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