Individual
MR. SHERIF A AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 E ELM ST, CARSON CITY, MI 48811-9693
(989) 584-3971
(989) 584-6734
Mailing address
36300 DEQUINDRE RD, APT 108, STERLING HEIGHTS, MI 48310-4243
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301086737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05419932
ECFMG CERTIFICATE
—
01
—
4301086737
MI PHYSICIAN LICENSE
MI
Enumeration date
11/16/2006
Last updated
11/29/2021
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