Individual
MR. ALA EDDIN IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 DIXIE HIGHWAY, SUITE 301, CLARKSTON, MI 48346
(248) 625-3000
(248) 625-2278
Mailing address
6770 DIXIE HIGHWAY, SUITE 301, CLARKSTON, MI 48346
(248) 625-3000
(248) 625-2278
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301039823
MI
Other
Enumeration date
11/02/2006
Last updated
07/13/2012
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