MOHAMMAD MUSTAQUIM

WEST BLOOMFIELD, MI
NPI1659682292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601003917)
Enumeration Date2010-06-29
Last Update Date2010-06-29
Business Address
-- MOHAMMAD MUSTAQUIM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-661-6417
Mailing Address
-- MOHAMMAD MUSTAQUIM
140 HADSELL DR
BLOOMFIELD TOWNSHIP, MI 48302-0408
Phone number: 248-943-6895
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