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Mr. Ibrahim Hussein Dabaja, PA
Medical Physician Assistant in Wyandotte, Michigan
NPI 1053592238

Ibrahim Hussein Dabaja is a Medical Physician Assistant based in Wyandotte, MI and is specialized in Medical. Ibrahim Hussein Dabaja practices in Wyandotte, MI and has the professional credentials of PA. The NPI Number for Ibrahim Hussein Dabaja is 1053592238 and holds a License No. 5601004858 (Michigan).

The current practice location address for Ibrahim Hussein Dabaja is 1768 Ford Ave, Wyandotte, MI and can be reached out via phone at 313-377-5758 and via fax at 734-574-6060.

Location: 1768 Ford Ave, Wyandotte, MI, 48192-2306
person
Provider Profile Details
NPI Number
1053592238
Provider Name
Ibrahim Hussein Dabaja
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1768 Ford Ave, Wyandotte, MI, 48192-2306
Phone Number
313-377-5758
Fax Number
734-574-6060
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1158216100 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
1768 Ford Ave
City
State
Zip
48192-2306
Phone Number
313-377-5758
Fax Number
734-574-6060
person
Provider Business Mailing Address Details
Address
1768 Ford Ave
City
State
Zip
48192-2306
Phone Number
313-377-5758
Fax Number
734-574-6060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004858 (Michigan)
Definition
Definition to come...
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