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Individual

GHAZANFAR LATIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2219 MANCHESTER DR, SAGINAW, MI 48609-9221
(609) 576-6322
Mailing address
2219 MANCHESTER DR, SAGINAW, MI 48609-9221
(609) 576-6322

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301104304
MI
208D00000X
General Practice Physician
4301104304
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659326395
MI
05
1689022469
MI
Enumeration date
01/13/2014
Last updated
05/24/2021
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