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Individual

DR. MUHAMMAD HAITHAM AL-MIDANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACP

Contact information

Practice address
4050 WALLI STRASSE DR, STE 1, BURTON, MI 48509-1727
(810) 743-0680
(810) 743-0020
Mailing address
4050 WALLI STRASSE DR, STE 1, BURTON, MI 48509-1727
(810) 743-0680
(810) 743-0020

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA037021
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02500611
BLUE CROSS BLUE SHIELD
MI
01
02500661
BLUE CARE NETWORK
MI
01
1100661
HEALTH PLUS OF MI
MI
05
1388637
MI
01
C2751
M-CARE
MI
Enumeration date
10/27/2006
Last updated
11/07/2012
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