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Individual

DR. GHALEB F HATEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4655 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-1936
(313) 295-2888
(313) 295-7923
Mailing address
4655 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-1936
(313) 295-2888
(313) 295-7923

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301040489
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1400778
MI
Enumeration date
05/16/2006
Last updated
01/18/2008
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