Individual provider · Type 1 NPI

Nour Ali

Medical Physician Assistant · Brownstown Township, MI

NPI number 1104279512 Active

Practice location

19145 Allen Rd, #107
Brownstown Township, MI 48183-6812

Mailing address

115 Lake Village Blvd, Apt 103
Dearborn, MI 48120-1665

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1104279512

Nour Ali's National Provider Identifier is 1104279512, issued on Jul 20, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brownstown Township, MI. The record was last updated on Jul 20, 2016.