Individual
MOHAMAD FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44405 WOODWARD AVE, MEDICAL EDUCATION, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
2020 ROBINDALE AVE, DEARBORN, MI 48128-1078
(313) 729-7017
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
4301510092
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301104977
MI
Other
Enumeration date
06/30/2014
Last updated
07/20/2023
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