Organization
ABDUL TABBAA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL H TABBAA M.D. (OWNER)
(810) 742-3400
Entity
Organization
Contact information
Practice address
1501 S CENTER RD, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534
Mailing address
1501 S CENTER RD, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
AT039215
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110440
—
MI
Enumeration date
11/05/2009
Last updated
11/05/2009
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