Individual
DR. HENNA MUSSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12815 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 284-2090
Mailing address
12815 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 284-2090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101013612
MI
Other
Enumeration date
07/23/2006
Last updated
12/17/2021
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