# MOHANAD FALLOUH, MD PLLC

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

## Provider details

- **NPI number:** 1174855175
- **Authorized official:** DR. MOHANAD FALLOUH (OWNER)
- **Authorized official phone:** (989) 773-2471

## Contact information

- **Practice address:** 211 S CRAPO ST, SUITE J, MT PLEASANT, MI 48858-2961
- **Practice address phone:** (989) 773-2471
- **Practice address fax:** (989) 773-3180
- **Mailing address:** 211 S CRAPO ST, SUITE J, MT PLEASANT, MI 48858-2961
- **Mailing address phone:** (989) 773-2471
- **Mailing address fax:** (989) 773-3180

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010