person
Dr. Casem Ballouk, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1649851924

Casem Ballouk is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Casem Ballouk practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Casem Ballouk is 1649851924 and holds a License No. 4301510121 (Michigan).

The current practice location address for Casem Ballouk is 3990 John R St, Detroit, MI and can be reached out via phone at 312-480-5473.

Location: 3990 John R St, Detroit, MI, 48201-2018
person
Provider Profile Details
NPI Number
1649851924
Provider Name
Casem Ballouk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3990 John R St, Detroit, MI, 48201-2018
Phone Number
312-480-5473
Fax Number
Provider Enumeration Date
04/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3990 John R St
City
State
Zip
48201-2018
Phone Number
312-480-5473
Fax Number
person
Provider Business Mailing Address Details
Address
3990 John R St
City
State
Zip
48201-2018
Phone Number
312-480-5473
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4301510121 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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