Individual
FAWAZ JAN SYRIL GEORGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30055 NORTHWESTERN HWY STE 220, FARMINGTON HILLS, MI 48334-3275
(248) 865-9898
(248) 865-9423
Mailing address
30055 NORTHWESTERN HWY STE 220, FARMINGTON HILLS, MI 48334-3275
(248) 865-9898
(248) 865-9423
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301501126
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
06/06/2022
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