Individual
DARIOUCHE MOHAMMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 PORTERS LANE, BLOOMFIELD, MI 48302
(248) 332-1341
Mailing address
1311 PORTERS LANE, BLOOMFIELD, MI 48302
(248) 332-1341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301031621
MI
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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