Individual
ALA S. SHUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37669 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 793-6500
(734) 793-6501
Mailing address
37669 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 793-6500
(734) 793-6501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068726
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4623033
—
MI
Enumeration date
03/04/2006
Last updated
08/05/2011
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