Individual
MARK FARHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 CATHERINE ST, ANN ARBOR, MI 48109-2038
(616) 304-1042
Mailing address
1113 FREESIA CT, ANN ARBOR, MI 48105-1972
(616) 304-1042
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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