Houssam Mustapha Fadlallah
ActiveMichigan license 5601003142
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601003142
- Status
- Active
- First issued
- January 26, 2000
- Expires
- January 26, 2029
- License holder
- Houssam Mustapha Fadlallah
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
5701 N Melborn St
Dearborn Heights, MI 48127
Dearborn Heights, MI 48127
Wayne County