Organization
SAADIA SIDDIQUI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TROYQUIA CARTER (BILLING MANAGER)
(586) 772-7200
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
5957 TEAKWOOD DR, TROY, MI 48085-3895
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301075014
MI
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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