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1215922109
HOUSSAM M FADLALLAH
DEARBORN, MI
NPI
1215922109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601003142)
Enumeration Date
2005-09-16
Last Update Date
2017-05-08
Business Address
-- HOUSSAM M FADLALLAH P.A.-C
6500 SCHAEFER RD SUITE A
DEARBORN, MI 48126
Phone number: 313-584-7900
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Mailing Address
-- HOUSSAM M FADLALLAH P.A.-C
6500 SCHAEFER RD SUITE A
DEARBORN, MI 48126-1813
Phone number: 313-584-7900
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