Organization
GASTROINTESTINAL AND LIVER DISORDERS SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRDOUS ANJUM SIDDIQUI M.D. (PRESIDENT)
(248) 208-9257
Entity
Organization
Contact information
Practice address
27200 LAHSER RD, SUITE 100, SOUTHFIELD, MI 48034-2137
(248) 208-9257
(248) 208-9217
Mailing address
27200 LAHSER RD, SUITE 100, SOUTHFIELD, MI 48034-2137
(248) 208-9257
(248) 208-9217
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301060352
MI
Other
Enumeration date
11/19/2010
Last updated
02/08/2012
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