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1205001021
SHABNAM SHIDFAR
ANN ARBOR, MI
NPI
1205001021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005189)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
-- SHABNAM SHIDFAR PA
1500 EAST MEDICAL CENTER DR 2ND FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109-0348
Phone number: 734-936-5851
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Mailing Address
-- SHABNAM SHIDFAR PA
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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