Individual
HIBA MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(313) 916-1601
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151017576
MI
Other
Enumeration date
04/23/2025
Last updated
05/20/2025
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