Individual
MOHAMMAD KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283791
MI
363LG0600X
Gerontology Nurse Practitioner
4704283791
MI
Other
Enumeration date
12/21/2020
Last updated
12/01/2025
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