Organization
MAZEN HARAKE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN SAMIR HARAKE MD (PRESIDENT)
(773) 230-5000
Entity
Organization
Contact information
Practice address
201 W BIG BEAVER RD, SUITE 1130, TROY, MI 48084-4152
(248) 524-0620
(248) 524-0934
Mailing address
201 W BIG BEAVER RD, SUITE 1130, TROY, MI 48084-4152
(248) 524-0620
(248) 524-0934
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301086566
MI
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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