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Individual

BAYAN AMELIA HAMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15120 MICHIGAN AVE, DEARBORN, MI 48126
(313) 843-8300
Mailing address
4716 MADA COURT, WEST BLOOMFIELD TOWNSHIP, MI 48322
(980) 319-5271

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601012416
MI
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601012416
STATE OF MICHIGAN- DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
06/29/2024
Last updated
08/05/2025
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