Individual
SHAYAN MEMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-7392
Mailing address
8079 WILDWOOD LN, WHITE LAKE, MI 48386-3591
(314) 330-7662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151016118
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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