Individual
SOODAD RABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4600 E 14 MILE RD, SUITE 1, WARREN, MI 48092-4369
(586) 274-3400
(586) 274-3411
Mailing address
46156 WOODWARD AVE, SUITE 1, PONTIAC, MI 48342-5033
(248) 322-6747
(248) 322-5787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704248759
MI
Other
Enumeration date
03/08/2016
Last updated
02/14/2017
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