Organization
AISO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABBIR AHMED MD (SOLE MBR)
(586) 872-5916
Entity
Organization
Contact information
Practice address
4190 24TH AVE, FORT GRATIOT, MI 48059-3882
(810) 216-2882
Mailing address
5036 LAKESHORE RD, FORT GRATIOT, MI 48059-3112
(586) 872-5916
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
01/21/2021
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