Bassel Altantawi, MD
Internal Medicine in Canton, MI. Individual provider (NPI-1).
NPI number1497797526
StatusActive
Last updated in NPPESJun 23, 2010
Details
- NPI
- 1497797526
- Entity type
- Individual (NPI-1)
- Name
- Bassel Altantawi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Jun 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301074111 | MI | Yes |
Practice location
610 Pheasant Woods DrCanton, MI 48188-3165
Phone 248-635-7574 · Fax 734-844-3950
Mailing address
610 Pheasant Woods DrCanton, MI 48188-3165
Phone 248-635-7574 · Fax 734-844-3950
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