Individual
DR. MOHAMED WADAH AL-AZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 S HOWELL ST, HILLSDALE, MI 49242-2040
(517) 437-5149
Mailing address
168 S HOWELL ST, HILLSDALE, MI 49242-2040
(517) 437-5149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301036070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620026
PHYSICIANS HEALTH PLAN
MI
05
—
4481395
—
MI
01
—
P00034317
RAILROAD MEDICARE
MI
Enumeration date
11/21/2006
Last updated
07/08/2007
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