MUNTHER ALAIWAT, M.D. , P.C.
Medical Practice at Northline Rd, Southgate, MI

License number
Michigan MA069255
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. MUNTHER ALAIWAT M.D.
Title: PRESIDENT
Phone: (734) 282-3600
Address
Address
15675 Northline Rd, Southgate, MI 48195
National Provider ID: 1861688780
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MUNTHER ALAIWAT, M.D., PC

Southgate, MI

Registration:
Jan 21, 1997
Addresses:
15675 Northline Rd, Southgate, MI 48195 (Physical)
Michigan (Mailing)
State ID:
443871
Business type:
Domestic Professional Service Corporation
Agent:
Munther Alaiwat

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