Individual
MR. HAISSAM GHAZZAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14716 WEST WARREN, DEARBORN, MI 48126
(313) 582-1350
Mailing address
666 DOVER, DEARBORN HEIGHTS, MI 48127
(313) 274-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028839
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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