Provider Demographics
NPI:1861573693
Name:INTERNATIONAL MUSCULOSKELETAL CENTER PC
Entity type:Organization
Organization Name:INTERNATIONAL MUSCULOSKELETAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-872-6080
Mailing Address - Street 1:9222 JOSEPH CAMPAU ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3731
Mailing Address - Country:US
Mailing Address - Phone:313-872-6080
Mailing Address - Fax:313-872-6111
Practice Address - Street 1:9222 JOSEPH CAMPAU ST
Practice Address - Street 2:SUITE D
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3731
Practice Address - Country:US
Practice Address - Phone:313-872-6080
Practice Address - Fax:313-872-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty