Mark J Ziadeh, MD
Electrodiagnostic Medicine in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1649352543
StatusActive
Last updated in NPPESMay 26, 2017
Details
- NPI
- 1649352543
- Entity type
- Individual (NPI-1)
- Name
- Mark J Ziadeh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Last updated
- May 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204R00000X | Electrodiagnostic Medicine | 4301059318 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 4301059318 | MI |
Practice location
23332 Farmington Road#1120
Farmington Hills, MI 48332
Phone 248-478-5645
Mailing address
Po Box 1120Farmington Hills, MI 48332-1120
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