Individual
AHSAN HABIB QAIYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2368 BURGER ST, HAMTRAMCK, MI 48212-2945
(313) 707-6490
Mailing address
19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-1370
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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