Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 5101019873 | MI |
NPI | 1083979314 |
---|---|
Provider Name | Dr. Hussein Ali Saghir |
First Address | Allen Park, MI 48101-2009 |
Second Address | Allen Park, MI 48101-2009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 05/08/2020 |