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Individual

DR. KHADER HATEM HERZALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
788 SERVICE RD RM B-301, EAST LANSING, MI 48824-7013
(517) 432-2404

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301112880
MI

Other

Enumeration date
08/03/2017
Last updated
03/17/2018
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