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1700519469
ANAS IDRIS
DETROIT, MI
NPI
1700519469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-08
Last Update Date
2023-02-20
Business Address
ANAS IDRIS M.D.
2799 W GRAND BOULEVARD
DETROIT, MI 48202
Phone number: 313-916-1601
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Mailing Address
ANAS IDRIS M.D.
2799 W GRAND BOULEVARD
DETROIT, MI 48202-2689
Phone number: 313-916-1601
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