Individual
IHSAN ASMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4004 LOVETT CT, INKSTER, MI 48141-2769
(734) 589-8770
Mailing address
4004 LOVETT CT, INKSTER, MI 48141-2769
(734) 589-8770
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AS820354772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454508451
STATE
MI
01
—
463Q6
HOME
MI
Enumeration date
09/07/2018
Last updated
09/07/2018
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