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Individual

DR. ESA M ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2590 ELIZABETH LAKE RD, WATERFORD, MI 48328-3314
(248) 738-5500
(248) 738-5506
Mailing address
2590 ELIZABETH LAKE RD, WATERFORD, MI 48328-3314
(248) 738-5500
(248) 738-5506

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076578
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0442264
BLUE CROSS BLUE SHIELD
MI
01
080D410020
BLUE CROSS BLUE SHIELD
MI
01
0995964
HEALTH PLUS
MI
01
1009018
MCLAREN HEALTH PLAN
MI
01
16456
MCARE
MI
05
4527690
MI
05
4586673
MI
01
7364481
AETNA
MI
01
H89371
HAP
MI
Enumeration date
11/15/2005
Last updated
11/17/2013
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