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Wessam Boutros Bou-assaly
Specialist in Ann Arbor, Michigan
NPI 1851581540

Wessam Boutros Bou-assaly is a Specialist based in Milan, MI. Wessam Boutros Bou-assaly practices in Ann Arbor, MI. The NPI Number for Wessam Boutros Bou-assaly is 1851581540 and holds a License No. 4301089243 (Michigan).

The current practice location address for Wessam Boutros Bou-assaly is 2155 Fuller Rd, Ann Arbor, MI and can be reached out via phone at 734-761-7959. You can also correspond with Wessam Boutros Bou-assaly through the mailing address at 9155 MIRAGE LAKE DR, MILAN, MI - 48160-9010 (mailing address contact number: 317-828-0810).

Location: 2155 Fuller Rd, Ann Arbor, MI, 48160-9010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851581540
Provider Name
Wessam Boutros Bou-assaly
Credential
Provider Entity Type
Individual
Gender
Male
Address
2155 Fuller Rd, Ann Arbor, MI, 48160-9010
Phone Number
734-761-7959
Fax Number
Provider Enumeration Date
07/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2155 Fuller Rd
City
Ann Arbor
State
Michigan
Zip
48105
Phone Number
734-761-7959
Fax Number
person
Provider Business Mailing Address Details
Address
9155 Mirage Lake Dr
City
Milan
State
Michigan
Zip
48160-9010
Phone Number
317-828-0810
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301089243 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
4301089243 (Michigan)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301089243 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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