Organization
M HAITHAM AL-MIDANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD HAITHAM AL-MIDANI M.D. (PRESIDENT / PHYSICIAN)
(810) 743-0680
Entity
Organization
Contact information
Practice address
4050 WALLI STRASSE DR STE 1, BURTON, MI 48509-1727
(810) 743-0680
(810) 743-0020
Mailing address
4050 WALLI STRASSE DR STE 1, BURTON, MI 48509-1727
(810) 743-0680
(810) 743-0020
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301037021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251277
BCN
MI
01
—
1002512771
BCBS
MI
01
—
1100661
HEALTHPLUS
MI
05
—
1388637 TYPE 10
—
MI
01
—
212241
MCLAREN HEALTH PLAN
MI
01
—
30109
CARESOURCE
MI
01
—
A75929
HEALTH ALLIANCE PLAN
MI
01
—
C2751
MCARE
MI
Enumeration date
05/05/2008
Last updated
05/05/2008
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