NPI 1154513687

Fazeel Mukhtar Siddiqui, MD

Practitioner Vascular Neurology Physician Wyoming, MI

Practice location

Address: 5900 Byron Center Ave SW, Wyoming, MI 49519-9606
Phone: (616) 252-7200
Mailing address: 2122 Health Dr SW STE 160, Wyoming, MI 49519-9402

Registered specialties (3)

Vascular Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084V0102X Licence 4301116960 (MI)

Other Psychiatry & Neurology providers in Michigan →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 036-132058 (IL)

Vascular Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084V0102X Licence 036-132058 (IL)

Registry record

NPI: 1154513687
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2007
Record last updated: 13 Mar 2025

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.