Individual
DR. FAWAZ MANFOUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20434 FARMINGTON RD, LIVONIA, MI 48152-1416
(248) 478-3922
Mailing address
20434 FARMINGTON RD, LIVONIA, MI 48152-1416
(248) 478-3922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415234
MI
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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