Individual
MUAWIA ABUSHUKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 KOLBE RD, PALLIATIVE CARE DEPT, LORAIN, OH 44053-1632
(440) 960-4900
(440) 934-1567
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 960-4900
(440) 934-1567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35126011
OH
207Q00000X
Family Medicine Physician
4301083368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207207
—
OH
Enumeration date
05/21/2007
Last updated
09/23/2015
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