Individual
MR. JAOUAD AZIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1729 VICKERY RD, PORTAGE, MI 49002-7605
(269) 910-5637
Mailing address
1729 VICKERY RD, PORTAGE, MI 49002-7605
(269) 910-5637
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
5802000235
MI
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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