Individual
MAHMOUD HASSAN KASSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24466 RED ARROW HWY, MATTAWAN, MI 49071-9804
(269) 668-4180
Mailing address
24466 RED ARROW HWY, MATTAWAN, MI 49071-9804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301504926
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351039636
MI
Other
Enumeration date
05/17/2018
Last updated
09/13/2022
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