Individual
BASHAR SUCCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-9490
(248) 334-9490
(248) 636-1170
Mailing address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-9490
(248) 334-9490
(248) 636-1170
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301035458
MI
Other
Enumeration date
09/11/2006
Last updated
01/25/2011
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