Individual
FATIMA ABDELMONEIM AHMED ELMUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11800 TWELVE MILE RD, WARREN, MI 48093
(586) 573-5000
Mailing address
MED ED IS 12000 E. 12 MILE ROAD, WARREN, MI 48093
(586) 576-4145
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
07/16/2024
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