Individual
NICOLAS JANO MOUAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2431 S M 30, WEST BRANCH, MI 48661-9312
(989) 343-3264
(989) 343-3202
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301090259
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301090259
MI
Other
Enumeration date
07/13/2007
Last updated
08/21/2014
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