Organization
ENDOCRINE SHORES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD HAMMOUDE MD (OWNER)
(586) 778-4950
Entity
Organization
Contact information
Practice address
18263 E 10 MILE RD STE D, ROSEVILLE, MI 48066-5805
(586) 778-4950
Mailing address
PO BOX 250624, FRANKLIN, MI 48025-0624
(586) 778-4950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265559488
NPI
MI
01
—
4301083021
ST LICENCE
MI
Enumeration date
05/03/2012
Last updated
03/07/2023
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