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Dr. Layth Maolood

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NPI Number Detailed Information

Provider Information:

Name: Dr. Layth Maolood
Gender: M
Provider License Number If Given: 4301068044

NPI Information:

NPI: 1790788701
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 5/11/2010

Provider Business Mailing Address:

Address: 3160 LEWIS AVE
Ida, MI 48140
Phone Number: 8884323621
Fax Number: 8663909167

Provider Business Practice Location Address:

Address: 3160 LEWIS AVE
Ida, MI 48140
Phone Number: 8884323621
Fax Number: 8663909167

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 207R00000X
State: MI

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