NPI 1447608104

Mazen Harake, MD PC

Organisation Plastic Surgery Physician Troy, MI

Practice location

Address: 201 W Big Beaver Rd Suite 1130, Troy, MI 48084-4152
Phone: (248) 524-0620
Fax: (248) 524-0934

Authorised official

Name: Mazen Samir Harake
Title: President
Phone: (773) 230-5000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301086566 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1447608104
Entity type: Organization
NPI issued: 2 Jun 2016
Record last updated: 2 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.