Individual
DR. WALID DEMASHKIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 ELECTRIC AVE, SUITE B, PORT HURON, MI 48060-6589
(810) 984-1148
(810) 984-1149
Mailing address
PO BOX 610669, PORT HURON, MI 48061-0669
(810) 985-1884
(810) 966-3025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301039123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0740003
BCBS
MI
05
—
2640474 TYPE 10
—
MI
01
—
4061902
AETNA
—
Enumeration date
11/20/2006
Last updated
07/10/2015
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