Individual
ALI FAJER ATEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 789-7968
Mailing address
7100 CRONIN DR, DEARBORN HEIGHTS, MI 48127-4613
(313) 608-9119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007954
MI
Other
Enumeration date
10/07/2016
Last updated
12/09/2016
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