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Sawsan Bazzi-ismail
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1508429507

Sawsan Bazzi-ismail is a Family Nurse Practitioner based in Dearborn Heights, MI and is specialized in Family. Sawsan Bazzi-ismail practices in Grand Rapids, MI. The NPI Number for Sawsan Bazzi-ismail is 1508429507 and holds a License No. F02191376 (Michigan).

The current practice location address for Sawsan Bazzi-ismail is 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI and can be reached out via phone at 616-229-2935.

Location: 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI, 48127-1765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508429507
Provider Name
Sawsan Bazzi-ismail
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Kenmoor Ave Se Ste 301, Grand Rapids, MI, 48127-1765
Phone Number
616-229-2935
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Kenmoor Ave Se Ste 301
City
Grand Rapids
State
Michigan
Zip
49546-2395
Phone Number
616-229-2935
Fax Number
person
Provider Business Mailing Address Details
Address
625 Kenmoor Ave Se Ste 301
City
Grand Rapids
State
Michigan
Zip
49546-2395
Phone Number
616-229-2935
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F02191376 (Michigan)
Definition
Definition to come...
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