Individual
MAHIN FATIMA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22201 MOROSS RD STE 150, DETROIT, MI 48236-2152
(313) 886-8787
Mailing address
22201 MOROSS RD STE 150, DETROIT, MI 48236-2152
(313) 886-8787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001375A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2017
Last updated
03/23/2023
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