Individual
BATOUL HARISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
04/21/2021
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