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Individual

DR. ELIZABETH ANN AJLOUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5186
(586) 573-5298
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5186
(586) 573-5298

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301403157
MI
2085R0203X
Therapeutic Radiology Physician
Primary
4301403157
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BA689270
MI
Enumeration date
04/13/2010
Last updated
04/13/2010
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