Individual
DR. AHMAD DIB DUDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-5269
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-5269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103357
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301103357
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301103357
MI
Other
Enumeration date
06/28/2013
Last updated
07/04/2016
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