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1972109460
MIHAD BASIC
SOUTHFIELD, MI
NPI
1972109460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704321546)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
MIHAD BASIC
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3000
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Mailing Address
MIHAD BASIC
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-516-5315
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