Individual
DR. FAWAZ M HASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33200 DEQUINDRE RD, SUITE 200, STERLING HEIGHTS, MI 48310-5967
(586) 977-0200
(586) 977-0000
Mailing address
1512 HAMLET DR, TROY, MI 48084-5701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083265
MI
Other
Enumeration date
02/19/2007
Last updated
02/09/2015
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