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Individual

MR. AZMY A ALLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HEALTH PARK DRIVE, OWOSSO, MI 48867
(989) 723-8666
(989) 725-1434
Mailing address
200 HEALTH PARK DRIVE, OWOSSO, MI 48867
(989) 723-8666
(989) 725-1434

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054357
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-07800631
BC OF MI
05
416467410
MI
Enumeration date
03/15/2006
Last updated
09/26/2011
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