Individual
HATEM M ATAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-1000
(989) 345-3163
Mailing address
611 COURT ST, PO BOX 428, WEST BRANCH, MI 48661-9390
(989) 345-1000
(989) 345-3163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4698473
—
MI
01
—
OF51015
BLUE CROSS GROUP
MI
Enumeration date
01/24/2006
Last updated
02/28/2008
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