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Individual

GHAUS M. MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202-2608
(313) 916-2436
Mailing address
2799 W GRAND BLVD, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202-2608
(313) 916-2436

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
034866
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GM034866
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
11/21/2006
Last updated
07/08/2007
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