Individual
AISHAH GABBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
17169 EDDON ST, MELVINDALE, MI 48122-1221
(313) 445-3482
Mailing address
17169 EDDON ST, MELVINDALE, MI 48122-1221
(313) 445-3482
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704349955
MI
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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