Individual
MUNTHER I. AJLOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 15401 EAST JEFFERSON, GROSSE POINTE PARK, MI 48230
(313) 824-4800
(313) 824-7080
Mailing address
HENRY FORD HEALTH SYSTEM, 15401 EAST JEFFERSON, GROSSE POINTE PARK, MI 48230
(313) 824-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301402608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA402608
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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