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Individual

DR. MOHAMED ISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19229 MACK AVE STE 34, GROSSE POINTE WOODS, MI 48236-2857
(313) 647-3245
(313) 647-3244
Mailing address
19229 MACK AVE STE 34, GROSSE POINTE WOODS, MI 48236-2857
(313) 647-3245
(313) 647-3244

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301508803
MI

Other

Enumeration date
06/25/2020
Last updated
06/29/2023
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