Individual
MR. ALI AHMED JRADI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2887 KRAFFT RD, STE 1000, PORT HURON, MI 48060
(810) 984-1994
(810) 984-3266
Mailing address
2887 KRAFFT RD, STE 1000, PORT HURON, MI 48060
(810) 984-1994
(810) 984-3266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4776847
—
MI
Enumeration date
05/28/2006
Last updated
07/08/2007
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