Individual
SAFIUL HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328-2167
(248) 682-4900
(248) 682-4909
Mailing address
5220 HIGHLAND RD, SUITE 200, WATERFORD, MI 48327-1975
(248) 682-4900
(248) 682-4909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SH036123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1781235
—
MI
Enumeration date
09/06/2006
Last updated
12/22/2016
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