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Individual

DR. AHMAD I AL-JERDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2275 W JEFFERSON AVE, TRENTON, MI 48183-2114
(734) 675-7210
(734) 675-3023
Mailing address
2275 W JEFFERSON AVE, TRENTON, MI 48183-2114
(734) 675-7210
(734) 675-3023

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101012046
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1209778
FIRST HEALTH
MI
01
122747
PREFERRED CHOICES PPO
MI
01
160055737
RAILROAD MEDICARE
MI
01
173659
ONE HEALTH PLAN GREAT WES
MI
01
2966851
CIGNA
MI
01
382524226
PPOM
MI
05
4106545-11
MI
01
5164734
AETNA
MI
01
5409385
CCN
MI
01
5820554
BLUE PREFERRED PLUS
MI
01
G84901
HAP & HAP SENIOR PLUS
MI
01
P99325
BCN
MI
Enumeration date
05/08/2006
Last updated
09/29/2016
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