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Individual

FAZLEOMAR MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14650 E OLD US HIGHWAY 12, SUITE 301, CHELSEA, MI 48118-1801
(734) 593-5990
(734) 593-5995
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
FM080247
MI
207RR0500X
Rheumatology Physician
Primary
4301080247
MI

Other

Enumeration date
05/17/2006
Last updated
07/27/2015
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