Individual
AYAT KHIDIR ABDELGADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
788 SERVICE RD, EAST LANSING, MI 48824-7013
(517) 432-2404
Mailing address
313 N CEDAR ST APT 212, LANSING, MI 48912-1289
(571) 645-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301115099
MI
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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