Individual
AULA ALI-SALOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24748 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2109
(248) 278-1820
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020998
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101020998
MEDICAL LICENSE
MI
Enumeration date
03/04/2014
Last updated
10/01/2019
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