Individual
ANDREW ANTHONY HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPARTMENT, LIVONIA, MI 48150-3397
(888) 861-8740
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007591
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13649702
CAQH
—
Enumeration date
10/12/2015
Last updated
08/18/2022
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