Dr ALI T BAZZY is a male medical professional, specializing in Family Medicine. He graduated in 2015.
ST JOHN PROVIDENCE PHYSICIANS CMG
43900 GARFIELD RD
SUITE 222
CLINTON TOWNSHIP
MI
480381137
Tel: 5862860050
Npi | 1962882910 |
Pac Id | 4486948692 |
Professional Enrollment Id | I20180614000715 |
Last Name | BAZZY |
First Name | ALI |
Middle Name | T |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2015 |
Primary Specialty | FAMILY MEDICINE |
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Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
Group Practice Pac Id | 7517162761 |
Number Of Group Practice Members | 62 |
Line 1 Street Address | 43900 GARFIELD RD |
Line 2 Street Address | SUITE 222 |
Marker Of Address Line 2 Suppression | |
City | CLINTON TOWNSHIP |
State | MI |
Zip Code | 480381137 |
Phone Number | 5862860050 |
Hospital Affiliation Ccn 1 | 230165 |
Hospital Affiliation Lbn 1 | ST JOHN HOSPITAL AND MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 230195 |
Hospital Affiliation Lbn 2 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
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Professional Accepts Medicare Assignment | Y |
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