Individual
ALAA EDDIN TAHBOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4771 MICHIGAN AVE, DETROIT, MI 48210-9718
(313) 897-2600
(313) 897-2424
Mailing address
17827 MAISONS DR, CLINTON TWP, MI 48038-3805
(810) 845-6450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007807
IL
363AM0700X
Medical Physician Assistant
5601009631
MI
Other
Enumeration date
09/24/2019
Last updated
12/13/2024
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