Organization
HARTLAND GERIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHELRAHMNA ALI M.D. (OWNER)
(313) 278-5836
Entity
Organization
Contact information
Practice address
2040 MONROE ST, STE 207, DEARBORN, MI 48124-2950
(313) 278-5836
Mailing address
2040 MONROE ST, STE 207, DEARBORN, MI 48124-2950
(313) 278-5836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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