Individual
DR. ELAINE L. ATALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8550 N SILVERY LN, SUITE 200, DEARBORN HEIGHTS, MI 48127-4510
(313) 561-2990
(313) 561-7065
Mailing address
8550 N SILVERY LN, SUITE 200, DEARBORN HEIGHTS, MI 48127-4510
(313) 561-2990
(313) 561-7065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4128650
—
MI
Enumeration date
11/03/2005
Last updated
11/30/2009
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