Individual
ANNISSA JABARIN HAMMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075812
MI
208000000X
Pediatrics Physician
4301075812
MI
Other
Enumeration date
10/12/2006
Last updated
10/20/2020
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