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1407320559
AHMED IHSAN MIRZA
ALLEN PARK, MI
NPI
1407320559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NH 079537-23)
Enumeration Date
2019-01-11
Last Update Date
2023-06-17
Business Address
AHMED IHSAN MIRZA FNP-C
19100 GODDARD RD
ALLEN PARK, MI 48101-1156
Phone number: 313-763-0309
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Mailing Address
AHMED IHSAN MIRZA FNP-C
19100 GODDARD RD
ALLEN PARK, MI 48101-1156
Phone number: 313-763-0309
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