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Search › Michigan › 363A00000X

Iman Ismail

NPI 1629541131 · on the registry since 2019 · sole proprietor

Practice

Address
20280 Middlebelt Rd
Livonia, MI 48152
Phone
(248) 987-1270
Organisation at this address
Premier Medicine Pc
Wayne Kidney Specialist Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-14

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