Individual
AHMED IHSAN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
19100 GODDARD RD, ALLEN PARK, MI 48101-1156
(313) 763-0309
(313) 771-9947
Mailing address
19100 GODDARD RD, ALLEN PARK, MI 48101-1156
(313) 763-0309
(313) 771-9947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079537-23
NH
Other
Enumeration date
01/11/2019
Last updated
06/17/2023
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