Individual
ALI G HAIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 573-8100
(586) 573-8101
Mailing address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 573-8100
(586) 573-8101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014914
MI
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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