Individual
JIHAD H BEYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15830 FORT ST, SUITE 5, SOUTHGATE, MI 48195-1367
(734) 282-1940
Mailing address
6433 OAKMAN BLVD, DEARBORN, MI 48126-2313
(313) 421-3352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2367616
—
MI
Enumeration date
02/15/2017
Last updated
02/15/2017
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