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Individual

HICHAM CHURBAJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2137 W M 61, GLADWIN, MI 48624-8463
(989) 426-9399
(989) 246-2257
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
HC065531
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110B610050
BCBS OF MICHIGAN
MI
05
1629023924
MI
01
383567566100
COMMUNITY CHOICE
MI
Enumeration date
05/24/2006
Last updated
07/15/2008
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