Individual
DR. HUSSEIN AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46325 W 12 MILE RD STE 215, NOVI, MI 48377
(248) 347-8121
(248) 305-6254
Mailing address
46325 W 12 MILE RD STE 215, NOVI, MI 48377-2460
(248) 347-8121
(248) 305-6254
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301056937
MI
208000000X
Pediatrics Physician
4301056937
MI
Other
Enumeration date
02/09/2016
Last updated
08/29/2018
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