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1497797526
BASSEL ALTANTAWI
CANTON, MI
NPI
1497797526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301074111)
Enumeration Date
2006-06-12
Last Update Date
2010-06-23
Business Address
BASSEL ALTANTAWI MD
610 PHEASANT WOODS DR
CANTON, MI 48188-3165
Phone number: 248-635-7574
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Mailing Address
BASSEL ALTANTAWI MD
610 PHEASANT WOODS DR
CANTON, MI 48188-3165
Phone number: 248-635-7574
Copy
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