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Organization

AMMAR GHANEM MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMMAR GHANEM M.D. (OWNER)
(248) 651-6430
Entity
Organization

Contact information

Practice address
950 W AVON RD, A2, ROCHESTER HILLS, MI 48307-2761
(248) 651-6430
(248) 650-1382
Mailing address
950 W AVON RD, A2, ROCHESTER HILLS, MI 48307-2761
(248) 651-6430
(248) 650-1382

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01067395A
IN

Other

Enumeration date
10/08/2016
Last updated
10/08/2016
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