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1083308233
MOHAMED MUKHTAR
GRAND BLANC, MI
NPI
1083308233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4351051981)
Enumeration Date
2023-06-08
Last Update Date
2023-06-13
Business Address
MOHAMED MUKHTAR MD
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 662-889-3562
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Mailing Address
MOHAMED MUKHTAR MD
7035 WHITE TAIL DR
GRAND BLANC, MI 48439-9644
Phone number: 662-889-3562
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