Individual
MOHAMED BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-BC
Contact information
Practice address
4100 WOODWARD AVE, DETROIT, MI 48201-2173
(313) 974-6533
(313) 974-6713
Mailing address
4100 WOODWARD AVE, DETROIT, MI 48201-2173
(313) 974-6533
(313) 974-6713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704371169
MI
363LF0000X
Family Nurse Practitioner
Primary
4704371169
MI
Other
Enumeration date
10/09/2025
Last updated
02/27/2026
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