Individual
ALFADL ABDULFATTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22101 MOROSS RD STE 50, ST. JOHN HOSPITAL AND MEDICAL CENTER, DETROIT, MI 48236-2148
(313) 343-7784
Mailing address
22101 MOROSS RD STE 50, ST. JOHN HOSPITAL AND MEDICAL CENTER, DETROIT, MI 48236-2148
(313) 343-7784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301104752
MI
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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