Organization
ASTHMA, ALLERGY AND SINUS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTEE ABDELJABER M.D. (OWNER)
(810) 648-4544
Entity
Organization
Contact information
Practice address
115 N DELAWARE ST, SANDUSKY, MI 48471-1008
(810) 648-4544
(810) 648-5924
Mailing address
PO BOX 1108, ATTN: LYNDA THOMPSON, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8012
RR MEDICARE
MI
Enumeration date
07/30/2006
Last updated
08/22/2020
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