MOHAMMAD DERANI MD PC
Osteopathic Medicine at Warren Ave, Dearborn, MI

License number
Michigan 4301045768
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MOHAMMAD DERANI M.D.
Title: OWNER
Phone: (313) 581-0909
Address
Address
15401 W Warren Ave, Dearborn, MI 48126
National Provider ID: 1063725620
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MOHAMMAD DERANI, M.D., PC

Southfield, MI  -  Dearborn, MI

Registration:
Jan 22, 1985
Addresses:
6052 Gln Eagles, Southfield, MI 48033 (Physical)
15401 W Warren Ave, Dearborn, MI 48126 (Mailing)
State ID:
084128
Business type:
Domestic Professional Service Corporation
Agent:
Mohammad Derani, M.d

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