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Individual

MAHA FAKHERDDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 622-2001
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
328584-01
NY
207P00000X
Emergency Medicine Physician
Primary
4301514079
MI

Other

Enumeration date
03/24/2020
Last updated
08/04/2025
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