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1134354988
MOHSEN BANNAZADEH
ROYAL OAK, MI
NPI
1134354988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301094234)
Enumeration Date
2009-05-22
Last Update Date
2009-05-22
Business Address
-- MOHSEN BANNAZADEH
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
-- MOHSEN BANNAZADEH
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number:
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