Individual
MARYAM SAMIR YOUSIF MATLOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(855) 863-8761
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
4301508883
MI
2084N0400X
Neurology Physician
Primary
4301508883
MI
Other
Enumeration date
06/05/2019
Last updated
09/04/2024
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