Individual
ALI H HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 PINE GROVE AVE, SUITE 2B, PORT HURON, MI 48060-3500
(810) 987-5500
(810) 987-6321
Mailing address
1231 PINE GROVE AVE STE 2B, PORT HURON, MI 48060-3500
(810) 987-5500
(810) 987-6321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301406466
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301406466
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301406466
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104892058
—
MI
Enumeration date
02/28/2006
Last updated
12/20/2018
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