Organization
HASAN M QUTOB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN M QUTOB MD (OWNER)
(734) 604-9626
Entity
Organization
Contact information
Practice address
817 W HIGH ST, JACKSON, MI 49203-2986
(734) 604-9626
Mailing address
PO BOX 71, JACKSON, MI 49204-0071
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301070269
MI
Other
Enumeration date
12/06/2006
Last updated
12/26/2015
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