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

Wisam Alqazzaz

Individual provider Meals Provider · NPI 1285428912

Wisam Alqazzaz is a Meals Provider in Dearborn Heights, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
Specialties on file
5
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 310
Dearborn Heights, MI 48127-0310
Phone: (562) 213-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 64, Sterling Heights, MI 48311-0064 — (561) 543-2792

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 5802020115 (MI)
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Mail Order Pharmacy Taxonomy 3336M0002X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1285428912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Other providers in Dearborn Heights