Individual
MARK J ZIADEH
Active
Individual
MARK J ZIADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
4301059318
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301059318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472761
—
MI
Enumeration date
10/19/2006
Last updated
05/26/2017
Update your record
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