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Organization

GOLDEN PHYSICAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI S MAKKI M.D. (OWNER/DIRECTOR)
(313) 695-3191
Entity
Organization

Contact information

Practice address
22243 WEST WARREN ST, DEARBORN HEIGHTS, MI 48127
(313) 406-9446
(313) 551-4768
Mailing address
22243 WEST WARREN ST, DEARBORN HEIGHTS, MI 48127
(313) 406-9446
(313) 551-4768

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114032
MI
Enumeration date
12/19/2014
Last updated
12/19/2014
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