Individual
HIBA QASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
Mailing address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4351054374
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
05/08/2026
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