Individual
MR. OMAR DWAN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
3120 CARPENTER ST STE 207, HAMTRAMCK, MI 48212-2771
(313) 826-0171
(313) 733-4585
Mailing address
3120 CARPENTER ST STE 207, HAMTRAMCK, MI 48212-2771
(313) 826-0171
(313) 733-4585
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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