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Individual

DR. ARIEL Q MAJJHOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1030 N MONROE ST, MONROE, MI 48162-3113
(734) 682-3309
(734) 682-1488
Mailing address
1030 N MONROE ST, MONROE, MI 48162-3113
(734) 682-3309
(734) 682-1488

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
4301090733
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301090733
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0951999
TYPE 1 BCBS PIN
MI
01
12555637
CAQH ID NO.
MI
01
1780874909
BCBS TYPE 1 (IND) NPI #
MI
01
4301090733
STATE LICENSE #
MI
01
5315055796
CDS #
MI
Enumeration date
07/25/2007
Last updated
06/10/2014
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