Individual
DR. KHALID MUTLAG ALMUTAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MS.C, FRCSC
Contact information
Practice address
4660 S HAGADORN RD, STE 600, EAST LANSING, MI 48823-5376
(517) 267-2460
(517) 884-8602
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
14794
NV
208200000X
Plastic Surgery Physician
Primary
4301106555
MI
208200000X
Plastic Surgery Physician
MD445621
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD445621
PA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD445621
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
4301106555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508116914
—
MI
Enumeration date
09/12/2012
Last updated
06/08/2016
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