Individual
SHAFIQ U REHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41667 QUAIL CT, CANTON, MI 48188-5228
(313) 247-6013
Mailing address
41667 QUAIL CT, CANTON, MI 48188-5228
(313) 247-6013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704253526
MI
Other
Enumeration date
02/22/2016
Last updated
02/26/2020
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