Individual
AYSHA ATHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023550
MI
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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