Individual
MALAK FARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 W CERMAK RD, CHICAGO, IL 60608-3704
(773) 839-6845
Mailing address
43141 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012106
MI
Other
Enumeration date
01/10/2019
Last updated
02/24/2025
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