Individual
BASSAM JABRAIL THWAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 W 9 MILE RD, OAK PARK, MI 48237
(248) 968-2276
(248) 968-2276
Mailing address
15300 W 9 MILE RD, OAK PARK, MI 48237-2584
(248) 968-2003
(248) 968-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066393
MI
Other
Enumeration date
11/20/2009
Last updated
05/23/2018
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