Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 4301099295 | MI |
NPI | 1003103201 |
---|---|
Provider Name | Ali Saeed |
First Address | Owosso, MI 48867-2117 |
Second Address | Owosso, MI 48867-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003103201 | (05) | MI |