Individual
ENTASER HAMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7742 SCHAEFER RD, DEARBORN, MI 48126-1159
(313) 429-3195
(313) 484-2255
Mailing address
20290 MIDDLEBELT RD, LIVONIA, MI 48152-2002
(248) 987-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010665
MI
Other
Enumeration date
08/30/2021
Last updated
09/21/2023
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