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Wafa A Elhassan Md Pllc
Primary Care Clinic/Center in Wayne, Michigan
NPI 1609425180

Wafa A Elhassan Md Pllc is a Primary Care Clinic/Center based in Canton, MI and is specialized in Primary Care. Wafa A Elhassan Md Pllc practices in Wayne, MI. The NPI Number for Wafa A Elhassan Md Pllc is 1609425180 and holds a License No. (Michigan).

The current practice location address for Wafa A Elhassan Md Pllc is 4020 Venoy Rd Ste 300, Wayne, MI and can be reached out via phone at 734-589-1090 and via fax at 734-589-1091.

Location: 4020 Venoy Rd Ste 300, Wayne, MI, 48188-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609425180
Provider Name
Wafa A Elhassan Md Pllc
Credential
Provider Entity Type
Organization
Address
4020 Venoy Rd Ste 300, Wayne, MI, 48188-5000
Phone Number
734-589-1090
Fax Number
734-589-1091
Provider Enumeration Date
09/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699115535 05 MI
institution
Provider Business Practice Location Address Details
Address
4020 Venoy Rd Ste 300
City
Wayne
State
Michigan
Zip
48184-1899
Phone Number
734-589-1090
Fax Number
734-589-1091
person
Provider Business Mailing Address Details
Address
4020 Venoy Rd Ste 300
City
Wayne
State
Michigan
Zip
48184-1899
Phone Number
734-589-1090
Fax Number
734-589-1091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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