IBRAHIM HUMAISAN

DEARBORN, MI
NPI1326664194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601009923)
Enumeration Date2020-06-17
Last Update Date2023-02-23
Business Address
IBRAHIM HUMAISAN
10140 VERNOR HWY
DEARBORN, MI 48120-1515
Phone number: 313-438-6059
Mailing Address
IBRAHIM HUMAISAN
1769 WALNUT ST
DEARBORN, MI 48124-4025
Phone number: 313-655-4809
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