Individual
MANZUR MOIDUNNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-8430
Mailing address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-8430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5315094447
MI
Other
Enumeration date
06/29/2018
Last updated
02/21/2024
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