Organization
ESA M ALI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESA M ALI MD (PRESIDENT)
(248) 738-5500
Entity
Organization
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
EA076578
MI
Other
Enumeration date
04/17/2008
Last updated
04/02/2013
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