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Individual

DR. SURA HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4717 ST. ANTOINE, KRESGE EYE INSTITUTE, DETROIT, MI 48201-1423
(313) 577-8900
(313) 577-0700
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5976
(248) 581-5640

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004721
MI

Other

Enumeration date
07/24/2012
Last updated
11/25/2015
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