Individual
MR. MOUSSA WISSAM AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
660 S WAVERLY ST, DEARBORN, MI 48124-1652
(313) 434-7676
Mailing address
660 S WAVERLY ST, DEARBORN, MI 48124-1652
(313) 434-7676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704363970
MI
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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