Individual
DR. EZZAT ALI FARHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 871-3751
Mailing address
5714 MIDDLESEX ST, DEARBORN, MI 48126-5022
(313) 704-8610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301514596
MI
Other
Enumeration date
09/05/2022
Last updated
09/25/2025
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