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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