Individual
AHMAD HAGE HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4353 MAPLE ST, DEARBORN, MI 48126-3535
(313) 908-9004
Mailing address
18302 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 478-1500
(248) 478-2798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013539
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
05/04/2026
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