Individual
JARRED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5951001348
MI
Other
Enumeration date
06/18/2019
Last updated
10/11/2022
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