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Individual

MRS. ALYSE HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
31555 W 14 MILE RD, FARMINGTON HILLS, MI 48334-1239
(248) 468-1889
Mailing address
6322 ASPEN RIDGE BLVD, WEST BLOOMFIELD, MI 48322-4433
(248) 738-7535

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704306355
MI

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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