Individual
FATIMA ALI EIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(313) 445-2102
(313) 445-2102
Mailing address
7636 HARTWELL ST, DEARBORN, MI 48126-1118
(313) 445-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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