Individual
JAN AHMED SHAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5382 MIDCHESTER CT APT 108, WEST BLOOMFIELD, MI 48324-1162
(248) 909-5302
Mailing address
5382 MIDCHESTER CT APT 108, WEST BLOOMFIELD, MI 48324-1162
(248) 909-5302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014447
MI
Other
Enumeration date
11/05/2010
Last updated
04/24/2023
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