Individual
SAWSAN BAZZI-ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 49546-2395
(616) 229-2935
Mailing address
24627 ROUGE RIVER DR, DEARBORN HEIGHTS, MI 48127-1765
(313) 522-9246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02191376
MI
Other
Enumeration date
04/16/2019
Last updated
09/01/2022
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