Individual
HUSAM ALGHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.155932
IL
207L00000X
Anesthesiology Physician
Primary
4301509243
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036.155932
IL
390200000X
Student in an Organized Health Care Education/Training Program
036.155932
IL
Other
Enumeration date
03/29/2017
Last updated
04/28/2023
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