Individual
DR. WASSIM NOUREDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SPRING ARBOR RD STE 100, JACKSON, MI 49203-8602
(517) 205-1000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036120723
IL
207R00000X
Internal Medicine Physician
4301097637
MI
207R00000X
Internal Medicine Physician
MD438106
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301097637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036120723
—
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
06/17/2008
Last updated
10/28/2022
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