Individual
DR. FADOL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1961
(906) 632-1800
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4518
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036168028
IL
207RC0000X
Cardiovascular Disease Physician
036168028
MI
207RC0000X
Cardiovascular Disease Physician
69999
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
02/07/2024
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