Individual
DR. MOHAMMAD GHAFFARLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15945 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-8677
(586) 286-8781
Mailing address
15945 19 MILE RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-8677
(586) 286-8781
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301056996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43391 COMMONS CLINTO
PREVIOUS ADDRESS
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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