Individual
HOUSSAM ATTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
2620 HORIZON DR SE, 100, GRAND RAPIDS, MI 49546-7520
(616) 530-3344
(616) 532-8040
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
4301067358
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301067358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301067358
MEDICAL LICENSE
MI
05
—
4933715
—
MI
Enumeration date
09/27/2005
Last updated
10/01/2021
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