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Individual

ALI JAMAL BAZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
18181 OAKWOOD BLVD STE 401, DEARBORN, MI 48124-5031
(313) 593-7240
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101026771
MI

Other

Enumeration date
04/23/2020
Last updated
07/31/2023
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