Individual
ALI H DABAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
116 S DENWOOD ST, DEARBORN, MI 48124-1310
(734) 266-2780
(734) 466-9615
Mailing address
DEPT 259301, P O BOX 67000, DETROIT, MI 48267-2593
(734) 266-2780
(734) 466-9615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101020852
MI
207P00000X
Emergency Medicine Physician
Primary
66361
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101020852
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053688952
—
MI
Enumeration date
11/20/2011
Last updated
01/24/2020
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