Organization
Y HASSANE MD PC
Active
Other names
SUMMIT PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASSER M HASSANE M.D. (OWNER)
(586) 840-4916
Entity
Organization
Contact information
Practice address
21840 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
(586) 591-5929
Mailing address
21840 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
(586) 591-5929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301073850
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00NF
—
MI
Enumeration date
11/18/2013
Last updated
11/18/2013
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