Individual
HABIBA HASSOUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503
(616) 774-2822
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9408068
KS
Other
Enumeration date
06/27/2013
Last updated
03/17/2021
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