Individual
DR. ALI SHAFIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 743-4012
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094094
MI
207R00000X
Internal Medicine Physician
65349
WI
207RC0000X
Cardiovascular Disease Physician
Primary
65349
WI
Other
Enumeration date
07/13/2009
Last updated
08/24/2020
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