OLIVIA MARIE GHANNAM

DETROIT, MI
NPI1710633029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010964)
Enumeration Date2022-02-24
Last Update Date2022-02-24
Business Address
OLIVIA MARIE GHANNAM PA-C
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-874-4689
Mailing Address
OLIVIA MARIE GHANNAM PA-C
41716 HEMPSHIRE ST
NOVI, MI 48375-4792
Phone number: 313-333-0011
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