Individual
DR. KASSEM MAHMOUD HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MS
Contact information
Practice address
616 MEIJER ST, CHARLOTTE, MI 48813
(517) 543-7800
(517) 543-7900
Mailing address
PO BOX 327, CHARLOTTE, MI 48813
(517) 543-7800
(517) 543-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104863352
—
MI
Enumeration date
11/15/2006
Last updated
01/08/2010
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