SearchMichigan343900000X

Mamoon Sufyan

NPI 1467988956 · on the registry since 2017 · sole proprietor

Practice

Address
7911 Calhoun St
Dearborn, MI 48126
Phone
(313) 409-0808
Organisation at this address
Polaris Transportation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-03

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