Organization
ALI NASSER MD PC
Active
Parent organization
ALI NASSER MD PC
Other names
Same
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALI NASSER MD PC
Authorized official
DR. ALI MOHAMED NASSSER MD (PRESIDENT)
(313) 843-8300
Entity
Organization
Contact information
Practice address
9925 DIX STE 103, DEARBORN, MI 48120-1593
(313) 843-8300
Mailing address
PO BOX 4186, DEARBORN, MI 48126-0186
(313) 843-8300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301077843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108227222
BLUE CROSS BLUR SHIELD
MI
05
—
4627749
—
MI
Enumeration date
09/13/2007
Last updated
01/21/2021
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