Individual
DR. HAGOP P GHAZARIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8748 PINE ISLAND CT S, MATTAWAN, MI 49071-9555
(269) 353-7277
(269) 353-7277
Mailing address
8748 PINE ISLAND CT S, MATTAWAN, MI 49071-9555
(269) 353-7277
(269) 353-7277
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3526895
—
MI
01
—
4858000160
BCBS
—
Enumeration date
05/19/2006
Last updated
07/08/2007
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