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Individual

HAYTHEM Y ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
HENRY FORD HEALTH SYSTEM, 2799 W.GRAND BLVD, DETROIT, MI 48202
(313) 916-7648
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 W.GRAND BLVD, DETROIT, MI 48202
(313) 916-7648

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301062173
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HA062173
CHAMPUS-CHAMPUS
Enumeration date
12/01/2006
Last updated
07/08/2007
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