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Individual

DR. HASSAN MOHAMAD REICHOUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7601 WYOMING ST, DEARBORN, MI 48126-1638
(313) 933-1256
(313) 933-2252
Mailing address
5838 KENILWORTH ST, DEARBORN, MI 48126-2153
(313) 581-5786
(313) 933-2252

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008359
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17354
GREAT LAKES HEALTH PLAN
MI
05
4290043
MI
01
5215
CAPE HEALTH PLAN
MI
01
P98795
BCN
MI
Enumeration date
12/22/2006
Last updated
07/08/2007
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