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Individual

ERMAL HASALLIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11885 E 12 MILE RD STE 300A, WARREN, MI 48093-3467
(586) 582-6630
Mailing address
11885 E 12 MILE RD STE 300A, WARREN, MI 48093-3467
(586) 582-6630

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB12688700
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2022
Last updated
05/19/2025
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