Individual
ISHRAT PARVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 WOODWARD AVE, DETROIT, MI 48201-2173
(248) 238-3030
Mailing address
4100 WOODWARD AVE, DETROIT, MI 48201-2173
(248) 238-3030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704370092
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704370092
MI
Other
Enumeration date
08/07/2024
Last updated
02/12/2025
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