Individual
FAHTME ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8676
(734) 712-3855
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008222
MI
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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