Tabarak Wutwut

NPI 1295323590 · on the registry since 2021

Practice

Address: 16100 19 Mile Rd
Clinton Township, MI 48038
Phone: (586) 221-4460
Organisation at this address: Tox Testing Inc
Easy Imaging Llc
Easy Imaging, Llc
Paragon Diagnostics
Ips Of Detroit Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan