Individual
BASHIR JACOB KASPO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(248) 425-1911
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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