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NPI Code Detail

MEDICARE: ENASS ASKAR

MEDICARE: ENASS ASKAR
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
1247200000XOther TechnicianMI

General Provider Information

NPI Number : 1568914901
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENASS ASKAR
Provider Business Mailing Address
First Line : 41521 W 11 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48375-1803
Country : US
Telephone Number : 248-299-0030
Fax Number :
Provider Business Practice Location Address
First Line : 41521 W 11 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48375-1803
Country : US
Telephone Number : 248-299-0030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2016
Last Update Date : 11/02/2016

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Directions to “ ENASS ASKAR ” Practice Location

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