Individual
MR. MOHAMMED SADIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6812 PINE WAY DR, TROY, MI 48098-2094
(248) 879-0091
(248) 879-0895
Mailing address
6812 PINE WAY DR, TROY, MI 48098-2094
(248) 879-0091
(248) 879-0895
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5501003720
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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