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Organization

IBTIHAJ RAJOULH, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IBTIHAJ RAJOULH M.D. (OWNER)
(989) 797-3130
Entity
Organization

Contact information

Practice address
4757 MCLEOD DR E, SAGINAW, MI 48604-2838
(989) 797-3130
(989) 249-6444
Mailing address
4757 MCLEOD DR E, SAGINAW, MI 48604-2838
(989) 797-3130
(989) 249-6444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301056947
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4297376
MI
Enumeration date
09/23/2009
Last updated
09/28/2009
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