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1508614728
HOOTAN OMIDVAR
ANN ARBOR, MI
NPI
1508614728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351052449)
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
HOOTAN OMIDVAR MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-764-4231
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Mailing Address
HOOTAN OMIDVAR MD
1500 E MEDICAL CENTER DR UH SOUTH F-6245
ANN ARBOR, MI 48109-5000
Phone number:
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