Individual
AMMAR KHASRACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3353 DETROIT ST, DEARBORN, MI 48124-4157
(218) 790-7159
Mailing address
3353 DETROIT ST, DEARBORN, MI 48124-4157
(218) 790-7159
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
2080P0205X
FL
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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