Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ibrahim Humaisan

Individual provider Physician Assistant · NPI 1326664194

Ibrahim Humaisan is a Physician Assistant in Dearborn, Michigan. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with Wellstreet Urgent Care of Michigan, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

10140 Vernor Hwy
Dearborn, MI 48120-1515
Phone: (313) 438-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009923 (MI)

Record details

NPI number1326664194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 26, 2025
Mailing address1769 Walnut St, Dearborn, MI 48124-4025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wellstreet Urgent Care Of Michigan — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Dearborn