Individual
HASAN M QUTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 E COOLSPRING AVE STE 2C, MICHIGAN CITY, IN 46360-6312
(219) 877-1298
(219) 877-1016
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301070269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 4122585
—
MI
Enumeration date
12/06/2006
Last updated
04/13/2026
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