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Individual

DR. DIAA AL DEIN AYOUB SHARIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1525 W CARO RD, CARO, MI 48723-9686
(989) 892-7722
(989) 892-7455
Mailing address
1525 W CARO RD, CARO, MI 48723-9686
(989) 672-2100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100775
MI
390200000X
Student in an Organized Health Care Education/Training Program
3113314
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659326395
MI
05
1689022469
MI
Enumeration date
07/08/2012
Last updated
09/01/2016
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