Organization
HENRY FORD HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD MUSTAQUIM PA-C (PA-C NEUROSURGERY)
(248) 689-8830
Entity
Organization
Contact information
Practice address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(248) 689-8830
(248) 689-8272
Mailing address
448 FOX HILLS DR S, APT. # 1, BLOOMFIELD, MI 48304-1352
(248) 253-0185
(248) 689-8272
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
5601003917
MI
Other
Enumeration date
03/21/2007
Last updated
06/18/2008
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