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Organization
SHAHNAZ ALI, M.D. PLLC
Active
Organization
SHAHNAZ ALI, M.D. PLLC
Active
Other names
AGE MANAGEMENT & HORMONE BALANCE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHNAZ ALI M.D. (OWNER/PHYSICIAN)
(616) 808-2695
Entity
Organization
Contact information
Practice address
1787 GRAND RIDGE CT NE, STE 202, GRAND RAPIDS, MI 49525-7042
(616) 808-2695
(616) 808-2697
Mailing address
PO BOX 289, JENISON, MI 49429-0289
(616) 457-9000
(616) 457-3801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076867
MI
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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