Organization
WAFIE ROUMAYAH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAFIE DANIAL ROUMAYAH M.D. (OWNER/PHYSICIAN)
(248) 544-7110
Entity
Organization
Contact information
Practice address
3345 COOLIDGE HWY, BERKLEY, MI 48072-1635
(248) 544-7110
(248) 544-7112
Mailing address
3345 COOLIDGE HWY, BERKLEY, MI 48072-1635
(248) 544-7110
(248) 544-7112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
WR047991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671510
—
MI
01
—
330630892
BLUE CROSS BLUE SHIELD OF MICHIGAN
—
Enumeration date
07/28/2010
Last updated
07/28/2010
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