Individual
MOHAMED MOSAD ALMAISARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 871-3751
Mailing address
3333 DOREMUS ST, HAMTRAMCK, MI 48212-3541
(313) 258-8524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101027158
MI
208D00000X
General Practice Physician
Primary
5101027158
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2021
Last updated
01/24/2024
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