Individual
MR. IFTEQUAR UDDIN FAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4129 S SAGINAW ST, FLINT, MI 48507-2650
(248) 390-5807
Mailing address
650 ROBINSON DR # 2, ROCHESTER HILLS, MI 48307-4293
(248) 390-5807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032237
MI
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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