THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
27/04/25 05:58:47 AM

General Information

Former Name: No Former Name
Medical School: Wayne State University School of Medicine, 2003
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 22101 Moross Rd
Grosse Pointe MI 48236-2172
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 16 Nov 2023
College of Physicians and Surgeons of Ontario
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Nov 16 2023
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Hafez Bazzi Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 25 Nov 2024
Shareholders:
Dr. H. Bazzi (CPSO#: 148055 )
Business Address: 1100 Falcon Street
Dearborn Michigan 48128
Business Address: 2475 McDougall Street
Suite 145
Windsor Ontario N8X 3N9 5198000884

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Wayne State University School of Medicine, 2003

Practice Information

Primary Business Location: 22101 Moross Rd
Grosse Pointe MI 48236-2172
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 16 Nov 2023
College of Physicians and Surgeons of Ontario
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Nov 16 2023
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Hafez Bazzi Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 25 Nov 2024
Shareholders:
Dr. H. Bazzi (CPSO#: 148055 )
Business Address: 1100 Falcon Street
Dearborn Michigan 48128
Business Address: 2475 McDougall Street
Suite 145
Windsor Ontario N8X 3N9 5198000884

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
20 Nov 2023
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Nov 20 2023
EXPIRY DATE:
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
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Dr. HAFEZ M BAZZI may practise medicine independently in emergency medicine.
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Dr. HAFEZ M BAZZI may practise medicine independently in emergency medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Wayne State University School of Medicine, 2003

Registration History

DETAILS DATE
First certificate of registration issued: Restricted Certificate Effective: 20 Nov 2023
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 20 Nov 2023
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 20 Nov 2023
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 20 Nov 2023