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Individual

ATHOR ANWIYA MIKHAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301098329
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301098329
MI

Other

Enumeration date
06/01/2011
Last updated
03/20/2020
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