Individual
DR. IHSAN WARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 715-4300
Mailing address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 715-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301088166
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4893128
—
MI
Enumeration date
11/14/2006
Last updated
07/09/2007
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