Individual
ANAS ATALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17757 VINEYARD ST, BROWNSTOWN, MI 48193-8811
(313) 433-7795
Mailing address
2105 WEST RD STE A, TRENTON, MI 48183-3897
(734) 675-7777
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400401
MI
Other
Enumeration date
04/12/2018
Last updated
05/15/2024
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