Individual
EMAN BAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 CLAREMONT ST, DEARBORN, MI 48124
(313) 461-5345
Mailing address
856 CLAREMONT ST, DEARBORN, MI 48124-1520
(313) 461-5345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351045569
MI
207Q00000X
Family Medicine Physician
T3925
TX
Other
Enumeration date
07/02/2019
Last updated
12/03/2024
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