Individual
MOHAMMED D HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 OSBORN BLVD STE 340, SAULT SAINTE MARIE, MI 49783-2071
(906) 632-5824
(906) 632-5818
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087221
MI
207RN0300X
Nephrology Physician
Primary
4301087221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4934104
—
MI
01
—
MH087221
BCBSM
MI
Enumeration date
10/16/2006
Last updated
07/21/2020
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