Organization
MUSTAFA HARES, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA HARES M.D. (OWNER)
(248) 371-3199
Entity
Organization
Contact information
Practice address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 371-3199
(248) 371-1930
Mailing address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 371-3199
(248) 371-1930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301040359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H73244
BCBSM
MI
05
—
2805270
—
MI
05
—
2805270-10
—
MI
Enumeration date
09/21/2016
Last updated
09/10/2020
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