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Individual

DR. BASSEL HASSOUNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4020 VENOY RD STE 200, WAYNE, MI 48184-1899
(734) 729-6710
Mailing address
4020 VENOY RD STE 200, WAYNE, MI 48184-1899
(734) 729-6710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD040741
DC
207RI0011X
Interventional Cardiology Physician
Primary
4301502268
MI

Other

Enumeration date
09/21/2009
Last updated
10/29/2021
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