Individual
AZZA HASSAN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.CH.B
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-4820
Mailing address
5470 WESSEX CT APT 107, DEARBORN, MI 48126-2680
(313) 583-0443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301092216
MI
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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