Individual
MIRIAM JAZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-1888
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-1888
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301504355
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301504355
MI
Other
Enumeration date
04/02/2018
Last updated
12/04/2023
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