Healthcare Provider Details

I. General information

NPI: 1982721296
Provider Name (Legal Business Name): ENDOCRINE CONSULTANTS OF MID MICHIGAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 VILLA LINDE PKWY
FLINT MI
48532-3445
US

IV. Provider business mailing address

5040 VILLA LINDE PKWY
FLINT MI
48532-3445
US

V. Phone/Fax

Practice location:
  • Phone: 810-230-0788
  • Fax: 810-230-8650
Mailing address:
  • Phone: 810-230-0788
  • Fax: 810-230-8650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: JAMAL HAMMOUD
Title or Position: MD/OWNER
Credential:
Phone: 810-230-0788