Individual
DR. USAMAH MOSSALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, CFP 260, DETROIT, MI 48202-2608
(313) 916-1557
Mailing address
2799 W GRAND BLVD, CFP 260, DETROIT, MI 48202-2608
(313) 916-1557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301074006
MI
207R00000X
Internal Medicine Physician
4301074006
MI
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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