Individual
TANIA MAMDOUHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 232-9432
Mailing address
1500 E MEDICAL CENTER DR SPC 5328, ANN ARBOR, MI 48109-5328
(734) 232-9432
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4351050604
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2022
Last updated
05/15/2023
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