Individual
MS. BALSAM AL BALAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
6071W OUTER DR, DETROIT, MI 48235-2624
(313) 966-4750
(313) 966-4760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007353
MI
Other
Enumeration date
05/13/2015
Last updated
11/19/2015
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