Organization
FALEH HUSSEINI MD
Active
Other names
FALEH HUSSEINI MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FALEH HUSSEINI MD (OWNER)
(313) 530-4678
Entity
Organization
Contact information
Practice address
25650 KELLY RD, STE 10, ROSEVILLE, MI 48066-4904
(313) 530-4678
Mailing address
25650 KELLY RD, STE 10, ROSEVILLE, MI 48066-4904
(313) 530-4678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092722
—
MI
01
—
4301034270
STATE LICENCE
MI
Enumeration date
11/12/2014
Last updated
11/12/2014
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