Individual
MUSTAFA S HUSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 N SHIAWASSEE ST STE 202, OWOSSO, MI 48867-1632
(989) 729-1600
(989) 729-4070
Mailing address
721 N SHIAWASSEE ST STE 202, OWOSSO, MI 48867-1632
(989) 729-1600
(989) 729-4070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078184
MI
207RG0100X
Gastroenterology Physician
267487
MA
207RG0100X
Gastroenterology Physician
35131908
OH
207RG0100X
Gastroenterology Physician
Primary
4301078184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073613808
—
MI
Enumeration date
09/22/2006
Last updated
10/05/2023
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