Individual
HIBA ELIAS HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40463 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-5005
(586) 300-9114
Mailing address
40463 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-5005
(586) 300-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5601011196
MI
363A00000X
Physician Assistant
Primary
5601011196
MI
Other
Enumeration date
08/22/2022
Last updated
12/12/2023
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