Organization
ALA E. IMAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALA E IMAM (PRESIDENT)
(248) 625-3000
Entity
Organization
Contact information
Practice address
6770 DIXIE HWY, SUITE 301, CLARKSTON, MI 48346-2087
(248) 625-3000
(248) 623-2278
Mailing address
6770 DIXIE HWY, SUITE 301, CLARKSTON, MI 48346-2087
(248) 625-3000
(248) 623-2278
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139592710
—
MI
Enumeration date
04/24/2008
Last updated
04/24/2008
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