Individual
DR. DIAA ALDIN H ELFAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 AIRVIEW BLVD, STE 105, PORTAGE, MI 49002-1803
(269) 349-8386
Mailing address
PO BOX 1239, TROY, MI 48099-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099121
MI
Other
Enumeration date
08/02/2011
Last updated
06/10/2015
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