Individual
DENISE M JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
23715 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-1181
(586) 447-8021
(586) 447-8022
Mailing address
23715 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-1181
(586) 447-8021
(586) 447-8022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3489334
—
MI
Enumeration date
10/04/2006
Last updated
11/21/2014
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