Individual
FATIMA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
100 COREWELL DR NW, GRAND RAPIDS, MI 49503-2041
(616) 643-9155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351054744
MI
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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