MORTADA ALTWAIJ

WEST BLOOMFIELD, MI
NPI1700562758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005695)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
MORTADA ALTWAIJ OD
7230 ORCHARD LAKE RD
WEST BLOOMFIELD, MI 48322-3603
Phone number: 248-661-5100
Mailing Address
MORTADA ALTWAIJ OD
4740 CURTIS ST
DEARBORN, MI 48126-2839
Phone number: