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Individual

DR. KHALID MUSTAFA ETEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5359
(810) 606-6966
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2025-00602
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301511962
MI
2085R0202X
Diagnostic Radiology Physician
76545
AZ

Other

Enumeration date
05/01/2020
Last updated
05/01/2026
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