Organization
MUTHANNA LOUIS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTHANNA LOUIS MD (PRESIDENT)
(248) 798-7727
Entity
Organization
Contact information
Practice address
7455 GLENGROVE DR, BLOOMFIELD, MI 48301-3871
(248) 798-7727
Mailing address
7455 GLENGROVE DR, BLOOMFIELD, MI 48301-3871
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
09/12/2011
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