Individual
DR. BASSAM M MAAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23522 MICHIGAN AVE, STE 200, DEARBORN, MI 48124-1934
(313) 724-0584
(313) 724-0593
Mailing address
23522 MICHIGAN AVE, STE 200, DEARBORN, MI 48124-1934
(313) 724-0584
(313) 724-0593
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301053885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1308248992
BCBS OF MICHIGAN
MI
05
—
1851314314
—
MI
Enumeration date
07/25/2006
Last updated
10/20/2014
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