MUSTAFA HARES MD PC
Radiology at University Dr, Auburn Hills, MI

License number
Michigan 4301040359
Category
Radiology
Type
Surgery
Owner
Name: DR. MUSTAFA HARES M.D.
Title: OWNER
Phone: (248) 371-3199
Address
Address 2
3252 University Dr SUITE 140, Auburn Hills, MI 48326
4512 Stoneview, West Bloomfield, MI 48322
National Provider ID: 1063961894
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MUSTAFA HARES, M.D., PC

West Bloomfield, MI

Status:
Inactive
Registration:
Jun 18, 2002
Addresses:
4512 Stoneview, West Bloomfield, MI 48322 (Physical)
Michigan (Mailing)
State ID:
32786C
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2005
Agent:
Mustafa Hares Md

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