Individual
AJMAT ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 OUTER DR. W, DETROIT, MI 48235
(313) 966-7434
(313) 966-1738
Mailing address
6071 OUTER DR. W, DETROIT, MI 48235
(313) 966-7434
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
09/06/2023
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