Organization
MOSTAFA S SADRY MD PC
Active
Organization
MOSTAFA S SADRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA SEIED SADRY MD (OWNER)
(810) 985-4100
Entity
Organization
Contact information
Practice address
2603 ELECTRIC AVE, SUITE 2, PORT HURON, MI 48060-6588
(810) 985-4100
(810) 985-8244
Mailing address
2603 ELECTRIC AVE, SUITE 2, PORT HURON, MI 48060-6588
(810) 985-4100
(810) 985-8244
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MS044076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118850
—
MI
Enumeration date
09/23/2010
Last updated
09/23/2010
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