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Individual

GHAZWAN G TOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14700 EAST OLD US 12, CHELSEA, MI 48118-1185
(734) 475-1321
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301092139
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301092139
MI

Other

Enumeration date
06/25/2008
Last updated
11/19/2019
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