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FARID EDIN NOSSONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
19000 ST JOE'S PARKWAY, SUITE 310, LIVONIA, MI 48152
(810) 494-6830
(810) 494-6834
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101020975
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
5101020975
MI

Other

Enumeration date
06/19/2014
Last updated
02/03/2026
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