Individual
MR. IMTIAZ AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
52950 GRATIOT AVE, CHESTERFIELD, MI 48051-2046
(586) 598-2328
(586) 598-2333
Mailing address
52950 GRATIOT AVE, CHESTERFIELD, MI 48051-2046
(586) 598-2328
(586) 598-2333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038769
MI
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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