Organization
BASIL AWAWDEH PODIATRY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL AWAWDEH DPM (AUTHORIZED OFFICIAL)
(313) 403-7730
Entity
Organization
Contact information
Practice address
455 E EISENHOWER PKWY SUITE 300 #1051, ANN ARBOR, MI 48108
(313) 403-7730
(734) 545-8645
Mailing address
46033 WINDRIDGE LN, CANTON, MI 48188-6224
(313) 403-7730
(734) 545-8645
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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