Individual
ALI IBRAHIM NASRALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25350 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 914-3666
(313) 380-0672
Mailing address
25350 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 914-3666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351038938
MI
Other
Enumeration date
06/11/2018
Last updated
12/05/2022
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