Individual
AMRE ASAD GHAZZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 PAGE AVE, JACKSON, MI 49201-2462
(517) 787-3577
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301513467
MI
207RI0011X
Interventional Cardiology Physician
4301513467
MI
Other
Enumeration date
04/01/2018
Last updated
12/09/2025
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