Individual provider · Type 1 NPI

Wisam Khalil, MD

Student in an Organized Health Care Education/Training Program · Brighton, MI

NPI number 1407206790 Active

Practice location

7575 Grand River Rd Ste 209
Brighton, MI 48114-9379

Call (810) 844-7950 Map

Mailing address

3769 Audrey Rae Ln
Howell, MI 48843-6604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407206790

Wisam Khalil, MD's National Provider Identifier is 1407206790, issued on Jun 16, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brighton, MI. The record was last updated on Jun 16, 2016.