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Individual

DR. HIKMAT SURAFIN HALASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1560 E SHERMAN BLVD, SUITE 215, MUSKEGON, MI 49444
(231) 830-8600
(231) 737-3145
Mailing address
1560 E SHERMAN BLVD, SUITE 215, MUSKEGON, MI 49444
(231) 830-8600
(231) 737-3145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
HH064430
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0610658
BCBS
05
4168824
MI
Enumeration date
09/27/2006
Last updated
03/01/2017
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