Individual
ABDEL-AZEZ OMAR ABDEL AZIZ ABU-SAMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(888) 777-4167
Mailing address
2800 W GRAND BLVD FL 6, DETROIT, MI 48202-2610
(908) 737-2573
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/25/2024
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