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Individual

MOHAMAD BADAOUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704341564
MI
363LF0000X
Family Nurse Practitioner
Primary
4704341564
MI

Other

Enumeration date
07/05/2022
Last updated
01/29/2024
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