Individual
DR. ASSADOLLAH A MAZHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43650 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1120
(877) 486-7978
(313) 745-2777
Mailing address
1560 E MAPLE RD, SUITE 400, TROY, MI 48083-1138
(877) 486-7978
(313) 745-2777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301052399
MI
207T00000X
Neurological Surgery Physician
Primary
4301052399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891095
—
MI
Enumeration date
12/27/2005
Last updated
10/27/2016
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