Organization
MICHIGAN HOME PHYSICIAN SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAZ HUSSAIN (OWNER)
(248) 797-5293
Entity
Organization
Contact information
Practice address
26645 W 12 MILE ROAD, SUITE 109, SOUTHFIELD, MI 48034-7811
(248) 797-5293
(248) 440-5351
Mailing address
26645 W 12 MILE ROAD, SUITE 109, SOUTHFIELD, MI 48034-7811
(248) 797-5293
(248) 440-5351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
10/09/2015
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