Most Relevant Information
Provider Data
| NPI Number: | 1003386772 |
| Provider Name: | MUHAMMAD SUHAIL SIDDIQUI RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501006930 |
Most Important Dates
| Enumeration Date: | 11/26/2018 |
| Last Updated: | 11/26/2018 |
Provider Practice Location
5575 NORTHCOTE
WEST BLOOMFIELD
MI
483224006
Practice Location Phone/Fax
| Phone: | 2487227473 |
| Fax: | 2482894691 |
Provider Mailing Location
5575 NORTHCOTE
WEST BLOOMFIELD
MI
483224006
Provider Mailing Phone/Fax
| Phone: | 2487227473 |
| Fax: | 2482894691 |