Individual
KAMEL FARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151016038
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151016038
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2020
Last updated
08/14/2023
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