Individual
JIMMY CHARBEL HAOUILOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25350 KELLY RD, ROSEVILLE, MI 48066-5824
(586) 270-5100
(586) 270-5111
Mailing address
25350 KELLY RD, ROSEVILLE, MI 48066-5824
(586) 270-5100
(586) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301084691
MI
2086S0129X
Vascular Surgery Physician
Primary
4301084691
MI
Other
Enumeration date
07/16/2008
Last updated
01/15/2026
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