Individual
HUSSEIN OTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
205 PAGE AVE STE B, JACKSON, MI 49201-2462
(517) 787-3577
Mailing address
205 PAGE AVE STE B, JACKSON, MI 49201-2462
(517) 787-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5315035401
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301091824
MI
Other
Enumeration date
04/10/2009
Last updated
06/21/2019
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