Individual
DR. MOHAMAD HASSAN BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
42680 FORD RD, CANTON, MI 48187-3338
(734) 844-5700
(734) 844-5703
Mailing address
42680 FORD RD, CANTON, MI 48187-3338
(734) 844-5700
(734) 844-5703
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301066396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2408212402
BCBS
MI
05
—
4566509
—
MI
Enumeration date
06/23/2006
Last updated
07/08/2007
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