Individual
JORDAN TABBAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
37595 7 MILE RD STE 340, LIVONIA, MI 48152-1003
(734) 793-2470
(734) 793-2471
Mailing address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301505219
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
06/29/2022
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