Organization
SHAKER HADDAD MD PC
Active
Organization
SHAKER HADDAD MD PC
Active
Other names
SHAKER HADDAD MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKER HADDAD MD (MD)
(313) 581-8090
Entity
Organization
Contact information
Practice address
12813 W WARREN AVE, DEARBORN, MI 48126-1532
(313) 581-8090
(313) 581-4823
Mailing address
12813 WEST WARREN, DEARBORN, MI 48126
(313) 581-8090
(313) 581-4823
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
SH048228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848906
—
MI
Enumeration date
09/30/2008
Last updated
09/30/2008
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