# ALAN T GHASSAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134328180
- **Authorized official:** DR. ALAN T GHASSAN MD (OWNER)
- **Authorized official phone:** (248) 477-9800

## Contact information

- **Practice address:** 24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
- **Practice address phone:** (248) 477-9800
- **Practice address fax:** (248) 477-9801
- **Mailing address:** 24333 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48336-1976
- **Mailing address phone:** (248) 477-9800
- **Mailing address fax:** (248) 477-9801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | AG081430 | MI | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 02/21/2012