Organization
DAKOTA FAMILY PRACTICE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI M KHAN MD (OWNER)
(517) 917-3007
Entity
Organization
Contact information
Practice address
1785 W STADIUM BLVD, ANN ARBOR, MI 48103-5285
(517) 917-3007
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301091123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184938268
—
MI
Enumeration date
08/02/2010
Last updated
07/26/2011
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