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Individual

MR. RAOUF AZIZ MIKHAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
G1075 N BALLENGER HWY, FLINT, MI 48504-4431
(810) 238-1118
(810) 238-9849
Mailing address
G1075 N BALLENGER HWY, FLINT, MI 48504-4431
(810) 238-1118
(810) 238-9849

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
RM039160
MI
208600000X
Surgery Physician
Primary
RM039160
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202111
HEALTH PLUS
05
1480474
MI
01
2512631
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
01/19/2006
Last updated
12/12/2016
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