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1700347416
HASSAN ALI FADEL
DETROIT, MI
NPI
1700347416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351044658)
Enumeration Date
2019-03-26
Last Update Date
2019-06-15
Business Address
HASSAN ALI FADEL MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1093
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Mailing Address
HASSAN ALI FADEL MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-629-6699
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