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Individual

ZIAD YOUSSEF FAYAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 E DOUGLAS RD STE 200, MISHAWAKA, IN 46545-1465
(574) 272-5347
(574) 272-8617
Mailing address
611 E DOUGLAS RD STE 200, MISHAWAKA, IN 46545-1465

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01075159A
IN
2086S0129X
Vascular Surgery Physician
Primary
01075159A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201292160
IN
Enumeration date
06/03/2008
Last updated
04/29/2024
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