Hasan M Qutob | |
817 W High St Jackson MI 49203-2986 | |
(734) 604-9626 | |
Not Available |
Full Name | Hasan M Qutob |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 817 W High St, Jackson, Michigan |
Authorized Official Name and Position | Hasan M Qutob (OWNER) |
Authorized Official Contact | 7346049626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hasan M Qutob Po Box 71 Jackson MI 49204-0071 Ph: () - | Hasan M Qutob 817 W High St Jackson MI 49203-2986 Ph: (734) 604-9626 |
NPI Number | 1154480499 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 12/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154480499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301070269 (Michigan) | Primary |
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