Individual
KHALIL ABU-JUBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
36500 S GRATIOT AVE STE 202, CLINTON TOWNSHIP, MI 48035-1772
(586) 790-9003
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5951001525
MI
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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