Individual
DR. FARZIN REZA NAMEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24100 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-3247
(586) 443-4063
(586) 443-4064
Mailing address
24100 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-3247
(586) 443-4063
(586) 443-4064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301053449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E012740
BCBSM GROUP NUMBER
MI
Enumeration date
06/28/2005
Last updated
10/30/2008
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