Individual
DR. ALI MOIIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 W BIG BEAVER RD, SUITE C12, TROY, MI 48084-3525
(248) 643-7677
(248) 643-7679
Mailing address
1575 W BIG BEAVER RD, SUITE C12, TROY, MI 48084-3525
(248) 643-7677
(248) 643-7679
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301059655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4251045 10
—
MI
Enumeration date
11/17/2005
Last updated
10/06/2014
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