Individual
JAWAD HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7490 HAGGERTY RD, WEST BLOOMFIELD, MI 48322-1067
(248) 661-4409
Mailing address
47907 PAVILLON RD, CANTON, MI 48188-6290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031784
MI
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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