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Individual

MAZEN KHALIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22790 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-1831
(586) 778-6060
(586) 773-8220
Mailing address
22790 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-1831
(586) 778-6060
(586) 773-8220

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301034244
MI

Other

Enumeration date
11/05/2006
Last updated
07/08/2007
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