Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301103401 | MI |
NPI | 1003254244 |
---|---|
Provider Name | Ashleigh Grund El Sakr |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48103-1876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2013 |
Last Update Date | 31/03/2016 |