Individual
MARIAM HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 W HURON ST., PONTIAC, MI 48341
(248) 857-7200
Mailing address
2656 LANTERN LANE APT 104, AUBURN HILLS, MI 48326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H200585079714
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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