Individual
ELFATIH ISMAIL I M ABTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5647
Mailing address
PO BOX 14, OXFORD, MI 48371-0014
(248) 760-5812
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
25MA05677700
NJ
207RI0200X
Infectious Disease Physician
Primary
4031089652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440074
BCBSM
MI
05
—
8672903
—
NJ
Enumeration date
02/13/2007
Last updated
07/15/2013
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