Organization
A.M. MUSSANI, MD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULQADIR M MUSSANI M.D. (OWNER)
(734) 284-2090
Entity
Organization
Contact information
Practice address
12815 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 284-2090
(734) 284-9666
Mailing address
12815 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 284-2090
(734) 284-9666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039494
MI
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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