Individual
MOHAMMED NADER BAZZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25639 FORD RD, DEARBORN HEIGHTS, MI 48127-4817
(313) 277-3293
Mailing address
25639 FORD RD, DEARBORN HEIGHTS, MI 48127-4817
(313) 277-3293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704304697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704304697
NURSE PRACTITIONER SPECIALTY LICENSE
MI
Enumeration date
01/04/2021
Last updated
01/04/2021
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