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NPI Code Detail

MEDICARE: DR. MARWAN LOUIS HADDAD M.D.

MEDICARE: DR. MARWAN LOUIS HADDAD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD-54523IA
2207L00000XAnesthesiology Physician4301055000MI

General Provider Information

NPI Number : 1033181631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARWAN LOUIS HADDAD M.D.
Provider Business Mailing Address
First Line : PO BOX 243
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48303-0243
Country : US
Telephone Number : 248-842-7799
Fax Number :
Provider Business Practice Location Address
First Line : 2700 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4547
Country : US
Telephone Number : 248-844-3800
Fax Number : 248-853-7833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/21/2025

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