Individual
MUHANNAD ANTOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2333 BIDDLE AVENUE, WYANDOTTE, MI 48192-9458
(734) 246-6000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301503853
MI
207R00000X
Internal Medicine Physician
4301503853
MI
207RI0200X
Infectious Disease Physician
4301503853
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301503853
MI
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
4301503853
MI
Other
Enumeration date
04/04/2011
Last updated
09/21/2023
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