Individual
SHOKROLLAH MIRAFZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4707 SAINT ANTOINE ST, DETROIT, MI 48201-1427
(313) 745-3615
Mailing address
PO BOX 64000, DWR 641546, DETROIT, MI 48264-0001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301034074
MI
207L00000X
Anesthesiology Physician
Primary
4301034074
MI
Other
Enumeration date
06/23/2006
Last updated
09/21/2012
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