Individual
AISHA NAGIB HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-2879
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-2879
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006687
MI
Other
Enumeration date
09/17/2013
Last updated
12/08/2015
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