Individual
HUSSEIN FAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(734) 295-5000
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704282656
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704282656
MI
Other
Enumeration date
04/26/2016
Last updated
01/02/2017
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