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1134168388
MUTAHHAR AHMAD
SOUTHFIELD, MI
NPI
1134168388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: MI 4301065663)
Enumeration Date
2006-06-05
Last Update Date
2017-04-25
Business Address
-- MUTAHHAR AHMAD MD
22972 LAHSER RD
SOUTHFIELD, MI 48033-4408
Phone number: 248-840-7480
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Mailing Address
-- MUTAHHAR AHMAD MD
22972 LAHSER RD
SOUTHFIELD, MI 48033-4408
Phone number: 248-840-7480
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