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Individual

DR. JIRIES T HADDAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9720 DIX, DEARBORN, MI 48120-1566
(313) 841-1680
(313) 841-3123
Mailing address
9720 DIX, DEARBORN, MI 48120-1566
(313) 841-1680
(313) 841-3123

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
JH047038
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1737335
MI
Enumeration date
02/13/2006
Last updated
07/08/2007
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