Individual
IMAD HAIDARDIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3815 PELHAM ST STE 3, DEARBORN, MI 48124-3852
(313) 565-2745
Mailing address
3815 PELHAM ST STE 3, DEARBORN, MI 48124-3852
(313) 565-2745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033891
MI
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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