Individual
BARAA GHASSAN MUSSALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 790-9003
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 790-9003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5151016576
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/14/2024
Last updated
06/14/2024
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