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Individual

ANAN A ABDELRAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44428 WOODWARD AVE, SUITE 104, PONTIAC, MI 48341-5009
(248) 858-6272
(248) 858-6279
Mailing address
44428 WOODWARD AVE, SUITE 104, PONTIAC, MI 48341-5009
(248) 858-6272
(248) 858-6279

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301036894
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3279883
MI
Enumeration date
10/21/2005
Last updated
12/13/2012
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