Individual
DR. HUSSEIN ALI MAZLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 CHARTER DR, SUITE A, FLINT, MI 48532-3584
(810) 720-0368
(810) 720-0371
Mailing address
8382 HOLLY RD, STE 2, GRAND BLANC, MI 48439-1973
(810) 720-0368
(810) 720-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301063987
MI
2086S0127X
Trauma Surgery Physician
4301063987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202505992
BCBS
MI
05
—
104356904
—
MI
Enumeration date
07/15/2006
Last updated
04/22/2017
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