Individual
WAEL ABUKWAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 993-2762
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(248) 909-7737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301503810
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301503810
MI
Other
Enumeration date
10/03/2016
Last updated
03/22/2023
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