person
Mazen El-koudsi, NP
Primary Care Nurse Practitioner in Dearborn, Michigan
NPI 1245821131

Mazen El-koudsi is a Primary Care Nurse Practitioner based in Dearborn, MI and is specialized in Primary Care. Mazen El-koudsi practices in Dearborn, MI and has the professional credentials of NP. The NPI Number for Mazen El-koudsi is 1245821131 and holds a License No. 4704343520 (Michigan).

The current practice location address for Mazen El-koudsi is 12940 W Warren Ave, Dearborn, MI and can be reached out via phone at 313-945-8210 and via fax at 313-945-0729. You can also correspond with Mazen El-koudsi through the mailing address at 1405 HOLLYWOOD ST, DEARBORN, MI - 48124-5021 (mailing address contact number: 313-523-0681).

Location: 12940 W Warren Ave, Dearborn, MI, 48124-5021
person
Provider Profile Details
NPI Number
1245821131
Provider Name
Mazen El-koudsi
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
12940 W Warren Ave, Dearborn, MI, 48124-5021
Phone Number
313-945-8210
Fax Number
313-945-0729
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12940 W Warren Ave
City
State
Zip
48126-1535
Phone Number
313-945-8210
Fax Number
313-945-0729
person
Provider Business Mailing Address Details
Address
1405 Hollywood St
City
State
Zip
48124-5021
Phone Number
313-523-0681
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704343520 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704343520 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704343520 (Michigan)
Definition
Definition to come...
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