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Moe Bazzy

NPI 1588945067 · on the registry since 2011

Practice

Address
1901 Southfield Rd
Lincoln Park, MI 48146
Phone
(313) 382-3578
Fax
(313) 382-3853

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan