Individual
MD WAHIDUZZAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 EAST TWELVE MILE ROAD, SUITE 105, WARREN, MI 48093
(586) 573-5143
(586) 573-5525
Mailing address
11900 EAST TWELVE MILE ROAD, SUITE 105, WARREN, MI 48093
(586) 573-5143
(586) 573-5525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301072692
MI
207RI0200X
Infectious Disease Physician
Primary
4301072692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4499470
—
MI
Enumeration date
08/07/2006
Last updated
08/30/2007
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