Individual
ALI KHAZAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(313) 460-4443
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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