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Individual

MOHAMMAD BITAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
47389 VAN DYKE AVENUE, SHELBY TOWNSHIP, MI 48317-3363
(586) 739-8030
(586) 739-8333
Mailing address
47389 VAN DYKE AVENUE, SHELBY TOWNSHIP, MI 48317-3363
(586) 739-8030
(586) 739-8333

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301059950
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4160147
MI
Enumeration date
04/11/2007
Last updated
04/18/2012
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