Individual
DANA HABASH-BSEISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25651 DETROIT RD STE 304, WESTLAKE, OH 44145-2415
(440) 808-8620
Mailing address
PO BOX 772040, DETROIT, MI 48277-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45916
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34830800
—
WI
Enumeration date
08/28/2006
Last updated
04/21/2023
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