Individual
DALAL GHOSSEIN KASSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 324-8600
Mailing address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 324-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301502747
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301502747
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351033394
MI
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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