Provider Demographics
NPI:1336346345
Name:MAWRI, FAISAL M (MD)
Entity type:Individual
Prefix:DR
First Name:FAISAL
Middle Name:M
Last Name:MAWRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 S LINDEN RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3459
Mailing Address - Country:US
Mailing Address - Phone:810-410-4869
Mailing Address - Fax:810-877-6849
Practice Address - Street 1:1230 S LINDEN RD STE 3A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3459
Practice Address - Country:US
Practice Address - Phone:810-410-4869
Practice Address - Fax:810-877-6849
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090467208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics