Individual
DR. MAHDI MOUSTAPHA BAZZOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2235 E GRAND RIVER AVE, HOWELL, MI 48843-2479
(517) 548-2401
Mailing address
5920 CENTRALIA ST, DEARBORN HEIGHTS, MI 48127-2933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415168
MI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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