Organization
GENESEE PEDIATRICS
Active
Other names
Manar Hammoud, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MANAR HAMMOUD M.D. (PHYSICIAN)
(810) 720-1510
Entity
Organization
Contact information
Practice address
5067 W BRISTOL RD, SUITE J, FLINT, MI 48507-2924
(810) 720-1510
(810) 720-1726
Mailing address
5067 W BRISTOL RD, SUITE J, FLINT, MI 48507-2924
(810) 720-1510
(810) 720-1726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301067983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0988606
HEALTH PLUS
MI
01
—
3502505342
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/13/2007
Last updated
08/22/2020
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