Individual
AMIN HUBALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7526 WYOMING ST, SUITE #2, DEARBORN, MI 48126-1690
(313) 834-4444
Mailing address
7526 WYOMING ST, SUITE #2, DEARBORN, MI 48126-1690
(313) 834-4444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005284
MI
Other
Enumeration date
06/26/2008
Last updated
08/09/2012
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