Organization
MAZEN KHALIDI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN KHALIDI MD (OWNER)
(586) 778-6060
Entity
Organization
Contact information
Practice address
22790 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-1831
(586) 778-6060
(586) 773-8220
Mailing address
22790 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-1831
(586) 778-6060
(586) 773-8220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301034244
MI
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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