Organization
ALEX BOUHACHEM DPM PC
Active
Organization
ALEX BOUHACHEM DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BOUHACHEM DPM (CEO)
(313) 406-4201
Entity
Organization
Contact information
Practice address
10801 W WARREN AVE, DEARBORN, MI 48126-1191
(313) 406-4201
(313) 406-4293
Mailing address
1813 N ROSEVERE AVE, DEARBORN, MI 48128-1242
(313) 406-4201
(313) 406-4293
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5901002050
MI
Other
Enumeration date
05/22/2007
Last updated
01/24/2025
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