Individual
MISS JESSICA ROSE HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39201 7 MILE RD RM 140A, LIVONIA, MI 48152-1079
(734) 213-3685
(734) 213-3686
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.063411
IL
207Q00000X
Family Medicine Physician
Primary
4301110197
MI
Other
Enumeration date
06/18/2013
Last updated
05/06/2020
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