Individual
MICHAEL JAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
389 PINEHURST DR, CANTON, MI 48188-3077
(313) 718-8130
Mailing address
389 PINEHURST DR, CANTON, MI 48188-3077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704317809
MI
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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