Mossallam, Samer

Mossallam, Samer is an individual health care provider with primary practice located at 1046 N Monroe St , Monroe MI 48162-3113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mossallam, Samer can be contacted via phone (734) 457-9034.

Contact Information

Primary practice address
1046 N Monroe St Monroe MI 48162-3113
Phone: (734) 457-9034
Fax: (734) 457-9037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X SM012934 Michigan

Profile Details

NPI number 1578545638
LBN Legal business name Mossallam, Samer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578545638 NPPES
Michigan Other 1655800434 BLUE CARE NETWORK
Michigan Other 1655800434 BLUE CARE NETWORK
Michigan Other P00210239 BLUE CARE NETWORK
Michigan Other 03570 BLUE CARE NETWORK
Michigan Other 05500 BLUE CARE NETWORK
Michigan Other 7112004 BLUE CARE NETWORK

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