Individual
MILLY FAYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36650 FIVE MILE RD STE 106, LIVONIA, MI 48154
(734) 744-9000
Mailing address
36650 FIVE MILE RD STE 106, LIVONIA, MI 48154-1956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704311178
MI
363LF0000X
Family Nurse Practitioner
Primary
4704311178
MI
Other
Enumeration date
09/23/2019
Last updated
02/22/2022
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