Individual
HASSAN RAFIC BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8209 ALLEN RD, ALLEN PARK, MI 48101-1401
(313) 675-0182
Mailing address
1556 E LAFAYETTE ST APT 463, DETROIT, MI 48207-2999
(313) 675-0182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101025688
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
08/27/2021
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