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Individual

MOHAMMED I DAIRYWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22250 PROVIDENCE DR STE 555, SOUTHFIELD, MI 48075-6213
(248) 424-5748
(248) 443-1706
Mailing address
22250 PROVIDENCE DR STE 555, SOUTHFIELD, MI 48075-6213
(248) 424-5748
(248) 443-1706

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4351050855
MI

Other

Enumeration date
03/28/2023
Last updated
06/10/2023
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