Individual
DR. GENNA HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6770
(248) 551-3000
(248) 551-2032
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4351051268
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351051268
MI
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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