Individual
DR. KEINAN TAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 HURLEY PLZ STE 212, FLINT, MI 48503-5905
(810) 262-9080
Mailing address
6078 FOUNTAIN POINTE APT 3, GRAND BLANC, MI 48439-7625
(567) 204-6035
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046170
MI
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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