Organization
MID MICHIGAN DIAGNOSTIC CORP
Active
Organization
MID MICHIGAN DIAGNOSTIC CORP
Active
Other names
Mid Michigan Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZAKWAN ABOUDANE (MANAGER)
(810) 606-0656
Entity
Organization
Contact information
Practice address
1309 S LINDEN RD STE A, FLINT, MI 48532-3443
(810) 606-0656
(810) 606-0662
Mailing address
1309 S LINDEN RD STE A, FLINT, MI 48532-3443
(810) 606-0656
(810) 606-0662
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301084975
MI
2084N0400X
Neurology Physician
Primary
KH072133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104809895
—
MI
05
—
105207154
—
MI
Enumeration date
05/07/2008
Last updated
01/24/2017
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