Organization
MIDAN MEDICAL HOLDINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ SHUKAIRY MD (SOLE MBR)
(810) 691-7738
Entity
Organization
Contact information
Practice address
2786 E HIGHLAND RD, HIGHLAND, MI 48356-2728
(810) 875-3713
Mailing address
1501 S CENTER RD UNIT 3, BURTON, MI 48509-1731
(810) 780-4181
(810) 519-4842
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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