Individual
ALISE HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6770
(248) 551-3000
Mailing address
150 E LONG LAKE RD, BLOOMFIELD HILLS, MI 48304-2357
(810) 922-0352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351056569
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/14/2026
Last updated
05/13/2026
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