Individual
NOUH MAZLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184
(734) 467-4000
Mailing address
PO BOX 638257, CINCINNATI, OH 45263-8257
(888) 952-6772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020923
MI
Other
Enumeration date
05/23/2014
Last updated
08/07/2025
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