Individual
DR. MOHAMED MOUNIR GAZAYERLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 W BIG BEAVER RD, BLDG, G, TROY, MI 48084-3525
(248) 643-4646
(248) 614-0123
Mailing address
1555 W BIG BEAVER RD, BLDG, G, TROY, MI 48084-3525
(248) 643-4646
(248) 614-0123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301031263
MI
208600000X
Surgery Physician
MG031263
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106349341
BCBSM
MI
Enumeration date
07/01/2006
Last updated
12/13/2007
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