Individual
MUSA HAZEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6001 W OUTER DR STE 121, DETROIT, MI 48235-2626
(248) 228-5260
Mailing address
6001 W OUTER DR, DETROIT, MI 48235-2614
(248) 228-5260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704331076
MI
Other
Enumeration date
04/17/2022
Last updated
10/06/2022
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