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1295351500
ATHAR GHANNAM
JACKSON, MI
NPI
1295351500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301509386)
Enumeration Date
2020-06-23
Last Update Date
2023-11-07
Business Address
ATHAR GHANNAM MD
3235 E MICHIGAN AVE STE 100
JACKSON, MI 49202-3971
Phone number: 517-205-3280
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Mailing Address
ATHAR GHANNAM MD
3235 E MICHIGAN AVE STE 100
JACKSON, MI 49202-3971
Phone number: 517-205-3280
Copy
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