Individual provider · NPI-1

Wael Abukwaik

Pediatrics, Pediatric Nephrology · Detroit, MI

NPI number1801345798
StatusActive
Last updated in NPPESMar 22, 2023

Details

NPI
1801345798
Entity type
Individual (NPI-1)
Name
Wael Abukwaik
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2016
Certification date
Mar 22, 2023
Last updated
Mar 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0210X Pediatrics, Pediatric Nephrology4301503810MIYes
208000000X Pediatrics4301503810MI

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Phone 313-993-2762

Mailing address

26901 Beaumont Blvd
Ste 3d
Southfield, MI 48033-3849

Phone 248-909-7737

Other practice locations

468 Cadieux Rd
Grosse Pointe, MI 48230-1507

Phone 313-473-1000

300 E 1st St Ste 201
Flint, MI 48502-1900

Phone 810-262-9773 · Fax 810-262-9900

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