Individual
AHMED IBRAHIM ELDEWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(313) 916-1601
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351056287
MI
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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