# MA FOOT & ANKLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487348413
- **Authorized official:** DR. MOHOMAD AL-SAWAH DPM (PRESIDENT DPM)
- **Authorized official phone:** (917) 498-1769

## Contact information

- **Practice address:** 2035 MONROE ST, DEARBORN, MI 48124
- **Practice address phone:** (917) 498-1769
- **Mailing address:** 4716 MADA CT, WEST BLOOMFIELD, MI 48322-2228
- **Mailing address phone:** (917) 498-1769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023