Individual
ANSA TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351056656
MI
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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