Individual
ALA ALOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 JOHN R ST, SUITE 522, DETROIT, MI 48201-2020
(313) 833-8467
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2006-0158
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30307309
—
NM
01
—
NM001W01
BCBS
NM
Enumeration date
08/02/2006
Last updated
07/15/2014
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