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1851641542
RIZWAN HUSSAIN IBADAT
DETROIT, MI
NPI
1851641542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006406)
Enumeration Date
2012-09-11
Last Update Date
2015-08-24
Business Address
-- RIZWAN HUSSAIN IBADAT Physician Assistant
18254 LIVERNOIS AVE
DETROIT, MI 48221-4214
Phone number: 313-861-4400
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Mailing Address
-- RIZWAN HUSSAIN IBADAT Physician Assistant
33110 WEST 12 MILE RD
FARMINGTON HILLS, MI 48334-3307
Phone number: 248-489-9070
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