Organization
MUNA K. FARJO,M.D., P.C.
Active
Other names
Pathlab / Skin check clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNA K. FARJO M.D. (PRESIDENT)
(734) 668-4700
Entity
Organization
Contact information
Practice address
3001 PLYMOUTH RD, SUITE # 101, ANN ARBOR, MI 48105-3205
(734) 668-4700
Mailing address
3001 PLYMOUTH RD, SUITE # 101, ANN ARBOR, MI 48105-3205
(734) 668-4700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301037565
MI
207ND0900X
Dermatopathology Physician
4301037565
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301037565
MI
208D00000X
General Practice Physician
3401037565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2208114661
BC/BS
MI
01
—
690H115140
BC/BS
MI
Enumeration date
05/25/2006
Last updated
10/13/2009
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