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Organization
AT HOME SLEEP CLINIC & BREATHING CENTER PLLC
Active
Organization
AT HOME SLEEP CLINIC & BREATHING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSAM E GOUDA MD (OWNER)
(989) 401-7444
Entity
Organization
Contact information
Practice address
4084 STATE ST, SAGINAW, MI 48603-4019
(989) 401-7444
(989) 401-7445
Mailing address
3785 BAY RD, SAGINAW, MI 48603
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
4301102063
MI
Other
Enumeration date
02/22/2013
Last updated
06/01/2018
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