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Search › Michigan › 363A00000X

Malak Bazzi, PA

NPI 1619568805 · on the registry since 2021 · sole proprietor

Practice

Address
22318 Ford Rd
Dearborn Heights, MI 48127
Phone
(313) 278-2788
Organisation at this address
Premier Pediatrics
Premier Pediatrics
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-03

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