Individual
ABDUL R EFFENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25710 KELLY RD STE 1, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Mailing address
25710 KELLY RD, STE 1, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
058052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4278700
—
MI
Enumeration date
05/17/2006
Last updated
10/18/2018
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