Individual
ESSA J. SIDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-2483
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-2483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301097385
MI
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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