PAYAUM FOTOVAT-AHMADI

LATHRUP VILLAGE, MI
NPI1225715683
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  4301512877)
Enumeration Date2023-06-28
Last Update Date2024-11-05
Business Address
PAYAUM FOTOVAT-AHMADI MD
27270 EVERGREEN RD
LATHRUP VILLAGE, MI 48076-3249
Phone number: 734-812-0429
Mailing Address
PAYAUM FOTOVAT-AHMADI MD
27270 EVERGREEN RD
LATHRUP VILLAGE, MI 48076-3249
Phone number:
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