Individual provider · Type 1 NPI

Mohammad Mustaquim

Surgical Physician Assistant · West Bloomfield, MI

NPI number 1659682292 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Call (248) 661-6417 Map

Fax (248) 661-7390

Mailing address

140 Hadsell Dr
Bloomfield Township, MI 48302-0408

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601003917 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1659682292

Mohammad Mustaquim's National Provider Identifier is 1659682292, issued on Jun 29, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Bloomfield, MI. The record was last updated on Jun 29, 2010.