Individual
DR. WASSIM MOUSSA BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18100 OAKWOOD BLVD STE 315, DEARBORN, MI 48124-4085
(313) 271-0066
(313) 271-1047
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301104287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB9133
MEDICARE RAILROAD
MI
Enumeration date
06/03/2008
Last updated
01/25/2018
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