Individual
DR. MOHAMAD HAZEM RASLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6300 N HAGGERTY RD STE 210, CANTON, MI 48187-4472
(734) 641-3000
Mailing address
PO BOX 253044, WEST BLOOMFIELD, MI 48325-3044
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MR057633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200449690
TAX ID
MI
05
—
4579131
—
MI
Enumeration date
03/29/2006
Last updated
02/19/2024
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