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Individual

DR. ABDULLAH MALLISHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5250 AUTO CLUB DR, STE 200, DEARBORN, MI 48126-4212
(313) 914-5591
(313) 982-9942
Mailing address
5250 AUTO CLUB DR, STE 200, DEARBORN, MI 48126-4212
(313) 914-5591
(313) 982-9942

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094502
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301094502
MI

Other

Enumeration date
09/10/2009
Last updated
07/19/2016
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