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Individual

ASMA HAYDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23850 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2325
(313) 278-7750
Mailing address
23850 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2325

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704359755
MI
363L00000X
Nurse Practitioner
4704359755
MI
363LF0000X
Family Nurse Practitioner
Primary
4704359755
MI

Other

Enumeration date
02/04/2021
Last updated
05/14/2022
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