Organization
MUDASSIR DAIMEE MD , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDASSIR A DAIMEE MD (OWNER)
(248) 302-9147
Entity
Organization
Contact information
Practice address
5248 PROVINCIAL DR, BLOOMFIELD TOWNSHIP, MI 48302-2533
(248) 302-9147
Mailing address
PO BOX 250670, FRANKLIN, MI 48025-0670
(248) 302-9147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301076708
LICENSE NUMER
MI
Enumeration date
01/17/2008
Last updated
01/21/2008
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