Individual
BASSAM J DAGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 COLUMBUS AVENUE, 3175 COLUMBUS AVENUE, BAY CITY, MI 48706
(989) 891-9050
(989) 891-9070
Mailing address
916 WASHINGTON AVENUE, SUITE 323, BAY CITY, MI 48708
(989) 891-9050
(898) 891-9070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301071281
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4736860
—
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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