Individual
AME JADALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7001 BERWYN ST, DEARBORN HEIGHTS, MI 48127-2062
(313) 399-1528
Mailing address
7001 BERWYN ST, DEARBORN HEIGHTS, MI 48127-2062
(313) 399-1528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005443
MI
Other
Enumeration date
01/20/2014
Last updated
11/25/2015
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