Individual
FAWZIEH M SHUKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18312 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 426-9944
Mailing address
321 CLAREMONT ST, DEARBORN, MI 48124-1307
(313) 995-0414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314838
MI
Other
Enumeration date
03/02/2022
Last updated
04/19/2023
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