Organization
SAFIUL HASAN M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFIUL HASAN M.D. (OWNER)
(248) 682-4900
Entity
Organization
Contact information
Practice address
4000 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328-2167
(248) 682-4900
(248) 682-4909
Mailing address
4000 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328-2167
(248) 682-4900
(248) 682-4909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301036123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1781235
—
MI
Enumeration date
09/21/2007
Last updated
09/21/2007
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