Individual
XIAOFAN MI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201
(313) 577-8900
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301509270
MI
207W00000X
Ophthalmology Physician
4351043756
MI
207W00000X
Ophthalmology Physician
A178176
CA
Other
Enumeration date
06/08/2018
Last updated
05/25/2023
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