Wafa Haddad
Full Name
Wafa Haddad
NPI Number
1235697848
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/04/2019
Specialties
(Taxonomies)Name
Code
101YA0400X
372600000X
3747A0650X
372500000X
103TC1900X
373H00000X
174H00000X
174N00000X
101YM0800X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
2723 SARNIA ST SW
2723 SARNIA ST SW
City
Wyoming
Wyoming
State
MI
MI
Postal Code
49519-6308
49519-6308
Country
US
US
Telephone Number
(616) 589-1625
(616) 589-1625
Identifiers
Identifier
CV0018047
CV0018047
Identifier State
MI
MI
Identifier Issuer
CASE MANAGEMENT
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/06/2019