Hussien A Ballout M.D.

NPI 1376955682 - Internal Medicine - 207R00000X

NPI Details
NPI 1376955682
Gender Male
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
22101 MOROSS RD
PROFESSIONAL BUILDING 2, SUITE 50
DETROIT MI, 48236-2148, US
Phone (313) 343-7784
Fax
Business Location
22101 MOROSS RD
PROFESSIONAL BUILDING 2, SUITE 50
DETROIT MI, 48236-2148, US
Phone (313) 343-7784
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301105551
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According to our database, Hussien A Ballout M.D. NPI is 1376955682, taxonomy code is 207R00000X and license number is 4301105551, license state is located at Michigan. Hussien A Ballout M.D. physically located at 22101 Moross Rd, Detroit MI, 48236-2148. NPI Number Hussien A Ballout M.D. has the Individual type.

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1376955682 NPI number is provided on an as is basis without warranty of any kind. 1376955682 is maintained by the National Plan & Provider Enumeration System. The contents of Hussien A Ballout M.D. are for informational purposes only.