Provider Demographics
NPI:1235165481
Name:ALNOUNOU, MUSTAFA (MD)
Entity Type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:
Last Name:ALNOUNOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5059 VILLA LINDE PKWY
Mailing Address - Street 2:SUITE 28
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3438
Mailing Address - Country:US
Mailing Address - Phone:810-720-7600
Mailing Address - Fax:810-720-8220
Practice Address - Street 1:5059 VILLA LINDE PKWY
Practice Address - Street 2:SUITE 28
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3438
Practice Address - Country:US
Practice Address - Phone:810-720-7600
Practice Address - Fax:810-720-8220
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301093129207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology