Individual
MASRURA QUAYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7542 WYOMING ST, DEARBORN, MI 48126-1690
(313) 415-1515
Mailing address
56669 SCOTLAND BLVD, SHELBY TOWNSHIP, MI 48316-5037
(313) 556-3197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11220869
MI
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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