Credi, Wagdi E

Credi, Wagdi E is an sole proprietor health care provider with primary practice located at 201 Eckford Dr , Troy MI 48085-4769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Credi, Wagdi E can be contacted via phone (248) 524-2630.

Contact Information

Primary practice address
201 Eckford Dr Troy MI 48085-4769
Fax: (248) 524-2630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301034828 Michigan

Profile Details

NPI number 1780759852
LBN Legal business name Credi, Wagdi E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Aug 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780759852 NPPES
Michigan MEDICAID 1579030-10

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