Individual
DR. MARIAM BASSALIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
9021 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3726
(313) 871-1927
Mailing address
9021 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3726
(313) 871-1926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704344060
MI
Other
Enumeration date
12/19/2021
Last updated
07/11/2025
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