Organization
ENDOVASCULAR PHYSICIANS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR HAQQANI MD (OWNER)
(989) 302-4800
Entity
Organization
Contact information
Practice address
5213 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8214
(989) 302-4800
Mailing address
5213 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8214
(989) 302-4800
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
10/09/2023
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