Individual
DR. MORTEZA HARIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14555 LEVAN RD, STE 409, LIVONIA, MI 48154-5083
(734) 462-4070
(734) 462-6370
Mailing address
14555 LEVAN RD STE 409, LIVONIA, MI 48154-5085
(734) 462-4070
(734) 462-6370
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301032788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061010
—
MI
Enumeration date
10/11/2006
Last updated
07/08/2007
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