| Bassel Altantawi Md Pc | |
|
9150 Allen Road Allen Park MI 48101 | |
| (248) 635-7574 | |
| Not Available |
| Full Name | Bassel Altantawi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9150 Allen Road, Allen Park, Michigan |
| Authorized Official Name and Position | Bassel Altantawi (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 2486357574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bassel Altantawi Md Pc 610 Pheasent Woods Dr Canton MI 48188 Ph: (248) 635-7574 | Bassel Altantawi Md Pc 9150 Allen Road Allen Park MI 48101 Ph: (248) 635-7574 |
| NPI Number | 1417036054 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417036054 | NPI | - | NPPES |
| 1104225970 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | BA074111 (Michigan) | Primary |
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