Organization
MID MICHIGAN DIAGNOSTIC CORP
Active
Other names
Mid Michigan Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZAKWAN ABOUDANE (OWNER)
(810) 606-0656
Entity
Organization
Contact information
Practice address
1309 S LINDEN RD STE A, FLINT, MI 48532-3443
(810) 606-0656
(810) 606-0662
Mailing address
1309 S LINDEN RD STE A, FLINT, MI 48532-3443
(810) 606-0656
(810) 606-0662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104809895
—
MI
05
—
104809901
—
MI
05
—
104847751
—
MI
05
—
104847770
—
MI
05
—
104847878
—
MI
05
—
105207154
—
MI
Enumeration date
06/16/2006
Last updated
01/24/2017
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