Individual
ALI ELIAS DIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 254-9693
Mailing address
23150 WILSON AVE, DEARBORN, MI 48128-1853
(313) 614-6115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291293
MI
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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