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Individual

DR. MOHAMMAD I AZIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
317 ECORSE RD, SUITE # 9, YPSILANTI, MI 48198-5787
(734) 487-5098
(734) 487-5925
Mailing address
317 ECORSE RD, SUITE # 9, YPSILANTI, MI 48198-5787
(734) 487-5098
(734) 487-5925

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301032955
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1084758
MI
Enumeration date
02/25/2006
Last updated
07/08/2007
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