Individual
MR. MAMOON SUFYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7911 CALHOUN ST, DEARBORN, MI 48126-1177
(313) 409-0808
Mailing address
7911 CALHOUN ST, DEARBORN, MI 48126-1177
(313) 409-0808
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5803000121
MI
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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