Individual
DR. FAYEZ SHUKAIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 S MILFORD RD, SUITE 105, HIGHLAND, MI 48357-4878
(248) 887-6997
(248) 889-2696
Mailing address
1050 S MILFORD RD, SUITE 105, HIGHLAND, MI 48357-4878
(248) 887-6997
(248) 889-2696
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036164724
IL
208600000X
Surgery Physician
Primary
037380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115509
—
MI
Enumeration date
08/16/2005
Last updated
09/13/2024
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