Organization
M HAZEM RASLAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD HAZEM RASLAN M.D (OWNER)
(734) 641-3000
Entity
Organization
Contact information
Practice address
6300 N HAGGERTY RD, SUITE 210, CANTON, MI 48187-3568
(734) 641-3000
Mailing address
PO BOX 253044, W. BLOOMFIELD, MI 48325-3044
(734) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MR057633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579131
—
MI
01
—
DB4794
MEDICARE RAILROAD
MI
Enumeration date
01/23/2007
Last updated
11/05/2013
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