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1073332995
WAAD ANTWAN MATTI HADDAD
GRANDVIEW, MO
NPI
1073332995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2024040902)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
Dr. WAAD ANTWAN MATTI HADDAD MD
13013 FULLER AVE
GRANDVIEW, MO 64030-2619
Phone number: 816-214-5548
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Mailing Address
Dr. WAAD ANTWAN MATTI HADDAD MD
4320 WORNALL RD STE 108
KANSAS CITY, MO 64111-5941
Phone number: 816-531-0552
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