Individual
JOHN MICHAEL FARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
39221 WOODWARD AVE UNIT 708, BLOOMFIELD HILLS, MI 48304-5169
(313) 850-3887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704300354
MI
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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