Individual
MAAN EKKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 W HURON ST, STE 107, PONTIAC, MI 48341-1601
(248) 857-7141
Mailing address
461 W HURON ST, STE 107, PONTIAC, MI 48341-1601
(248) 857-7141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094030
MI
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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