Individual
KANWAL AYAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MACOMB ACADEMIC CLINIC IM, 11885 E. 12 MILE RD., STE 200B, WARREN, MI 48093
(586) 582-6630
(586) 582-6631
Mailing address
MACOMB ACADEMIC CLINIC IM, 11885 E. 12 MILE RD., STE 200 B, WARREN, MI 48093-1294
(586) 582-6630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/04/2024
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