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1871821389
BASSAM JABRAIL THWAINEY
OAK PARK, MI
NPI
1871821389
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Former Name
BASSAM JABRAIL ASSI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301066393)
Enumeration Date
2009-11-20
Last Update Date
2018-05-23
Business Address
BASSAM JABRAIL THWAINEY M.D.
15300 W 9 MILE RD
OAK PARK, MI 48237
Phone number: 248-968-2276
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Mailing Address
BASSAM JABRAIL THWAINEY M.D.
15300 W 9 MILE RD
OAK PARK, MI 48237-2584
Phone number: 248-968-2003
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