Individual
DR. TALAL BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
(313) 343-8747
Mailing address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
(313) 343-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351047779
MI
207RH0003X
Hematology & Oncology Physician
Primary
4351047779
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
03/29/2021
Last updated
08/01/2024
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