Individual
JALAL RAMI HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-7392
Mailing address
26393 LAWRENCE DR, DEARBORN HEIGHTS, MI 48127-4908
(313) 506-6908
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151016102
MI
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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