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Baher Kamelishacc Boctor, MD
Specialist in Detroit, Michigan
NPI 1699710129

Baher Kamelishacc Boctor is a Specialist based in Detroit, MI. Baher Kamelishacc Boctor practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Baher Kamelishacc Boctor is 1699710129 and holds a License No. 4301056652 (Michigan).

The current practice location address for Baher Kamelishacc Boctor is 3990 John R St, Detroit, MI and can be reached out via phone at 313-745-8521.

Location: 3990 John R St, Detroit, MI, 48264-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699710129
Provider Name
Baher Kamelishacc Boctor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3990 John R St, Detroit, MI, 48264-0001
Phone Number
313-745-8521
Fax Number
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3990 John R St
City
Detroit
State
Michigan
Zip
48201-2018
Phone Number
313-745-8521
Fax Number
person
Provider Business Mailing Address Details
Address
3990 John R St
City
Detroit
State
Michigan
Zip
48201-2018
Phone Number
313-745-8521
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301056652 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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