NPI 1053971390

Jarred Ali, DPM

Practitioner Foot & Ankle Surgery Podiatrist Wyandotte, MI

Practice location

Address: 1628 Ford Ave, Wyandotte, MI 48192-2304
Phone: (734) 284-1333
Mailing address: 5450 Fort St, Trenton, MI 48183-4601

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 5951001348 (MI)

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Registry record

NPI: 1053971390
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2019
Record last updated: 11 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.