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Individual

ANKITA S MALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
2075 FORT ST STE 101, LINCOLN PARK, MI 48146-2191
(734) 564-1650
Mailing address
2075 FORT ST STE 101, LINCOLN PARK, MI 48146-2191
(646) 287-9633

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501014946
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MI
Enumeration date
06/07/2018
Last updated
06/16/2018
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