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Individual

MAHMOUD H ELBORAII

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
717 S ETON ST, BIRMINGHAM, MI 48009-6837
(248) 423-3096
Mailing address
251 N ROSE ST, STE 200, KALAMAZOO, MI 49007-3860
(866) 949-0108

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704334830
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704334830
MI

Other

Enumeration date
06/21/2021
Last updated
12/30/2021
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