Individual
IJAZ ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN, M.D
Contact information
Practice address
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT., PONTIAC, MI 48341
(248) 858-6233
(248) 858-3244
Mailing address
44405 WOODWARD AVE TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT., PONTIAC, MI 48341
(248) 858-6233
(248) 858-3244
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351053185
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/02/2024
Last updated
07/19/2024
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