Organization
ORTHOPEDIC PC
Active
Organization
ORTHOPEDIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD S AWAISI MD (OWNER)
(313) 463-8676
Entity
Organization
Contact information
Practice address
24155 PENN STATE, DEARBORN, MI 48124
(313) 463-8676
Mailing address
24155 PENN STATE, DEARBORN, MI 48124
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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