Individual
IMAD HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6203 TERNES ST, DEARBORN, MI 48126-2013
(313) 995-6965
Mailing address
6203 TERNES ST, DEARBORN, MI 48126-2013
(313) 995-6965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044568
MI
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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