Individual
FARAH BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4700 GREENFIELD RD STE 2E, DEARBORN, MI 48126-4124
(313) 740-1111
(313) 672-6241
Mailing address
21157 FAIRVIEW DR, DEARBORN HEIGHTS, MI 48127-2686
(313) 310-5710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704322517
MI
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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