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Jack Avedikian, MD

Surgery in Wyandotte, MI. Individual provider (NPI-1).

NPI number1194354993
StatusActive
Last updated in NPPESNov 7, 2020

Details

NPI
1194354993
Entity type
Individual (NPI-1)
Name
Jack Avedikian
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2020
Certification date
Nov 7, 2020
Last updated
Nov 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery4351046535MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Phone 734-246-8004

Mailing address

2333 Biddle Ave
Wyandotte, MI 48192-4668

Phone 734-246-8004

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