SURAIYA KHANOM AZOM

WAYNE, MI
NPI1619319894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301104094)
Enumeration Date2013-07-29
Last Update Date2013-07-29
Business Address
SURAIYA KHANOM AZOM M.D.
33155 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 734-467-2482
Mailing Address
SURAIYA KHANOM AZOM M.D.
33155 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 734-467-2482
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