AL MUTHANNA AMJAD SHADID

DETROIT, MI
NPI1649842436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351048263)
Enumeration Date2021-07-12
Last Update Date2021-07-12
Business Address
AL MUTHANNA AMJAD SHADID MD
2799 W. GRAND BOULEVARD
DETROIT, MI 48202-2608
Phone number: 313-916-1888
Mailing Address
AL MUTHANNA AMJAD SHADID MD
2799 W. GRAND BOULEVARD
DETROIT, MI 48202-2608
Phone number: 313-916-1888