Individual
DR. JOHN GEORGE GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 ST ANTOINE ST., DETROIT, MI 48201
(313) 745-3000
Mailing address
4201 ST ANTOINE ST., DETROIT, MI 48201
(313) 745-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301099377
MI
Other
Enumeration date
07/07/2011
Last updated
10/15/2011
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