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Hassan Ali Abboud
Foot & Ankle Surgery Podiatrist in Gladwin, Michigan
NPI 1700460235

Hassan Ali Abboud is a Foot & Ankle Surgery Podiatrist based in Gladwin, MI and is specialized in Foot & Ankle Surgery. Hassan Ali Abboud practices in Gladwin, MI. The NPI Number for Hassan Ali Abboud is 1700460235 and holds a License No. (Michigan).

The current practice location address for Hassan Ali Abboud is 5404 Hillcrest St, Gladwin, MI and can be reached out via phone at 313-603-0102.

Location: 5404 Hillcrest St, Gladwin, MI, 48624-8930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700460235
Provider Name
Hassan Ali Abboud
Credential
Provider Entity Type
Individual
Gender
Male
Address
5404 Hillcrest St, Gladwin, MI, 48624-8930
Phone Number
313-603-0102
Fax Number
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A130298019785 01 MI DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
5404 Hillcrest St
City
Gladwin
State
Michigan
Zip
48624-8930
Phone Number
313-603-0102
Fax Number
person
Provider Business Mailing Address Details
Address
5404 Hillcrest St
City
Gladwin
State
Michigan
Zip
48624-8930
Phone Number
313-603-0102
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
P114204 (New York)
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
390200000X
License No.
()
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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