Organization
HAMTRAMCK MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAZEM SAMIR-MOEZ MD (MEDICAL DIRECTOR)
(313) 410-2010
Entity
Organization
Contact information
Practice address
9222 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3731
(313) 872-5555
(313) 872-5009
Mailing address
27141 KENNEDY ST, DEARBORN HEIGHTS, MI 48127-1669
(313) 410-2010
(313) 561-6666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4636926
—
MI
Enumeration date
12/26/2006
Last updated
08/22/2020
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