Organization
HUSSEIN MAZLOUM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSEIN ALI MAZLOUM M.D. (PHYSICIAN)
(810) 239-8051
Entity
Organization
Contact information
Practice address
1020 CHARTER DR, SUITE A, FLINT, MI 48532-3584
(810) 239-8051
(810) 239-3925
Mailing address
1020 CHARTER DR, SUITE A, FLINT, MI 48532-3584
(810) 239-8051
(810) 239-3925
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
HM063987
MI
2086S0127X
Trauma Surgery Physician
HM063987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4356904
—
MI
Enumeration date
01/13/2013
Last updated
01/13/2013
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