Jamil Eyad Haddad, DO
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1548019540
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1548019540
- Entity type
- Individual (NPI-1)
- Name
- Jamil Eyad Haddad
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2024
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MI | Yes |
| 207X00000X | Orthopaedic Surgery | 5151016568 | MI |
Practice location
1000 Harrington StMount Clemens, MI 48043-2920
Phone 586-790-9003
Mailing address
1000 Harrington StMount Clemens, MI 48043-2920
Phone 586-790-9003
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