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Ibrahim Saleh

Physician Assistant, Medical in Dearborn, MI. Individual provider (NPI-1).

NPI number1366074833
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1366074833
Entity type
Individual (NPI-1)
Name
Ibrahim Saleh
Sex
Male
Sole proprietor
No
Enumeration date
Feb 12, 2020
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical5601013343MIYes

Practice location

12841 Ford Rd
Dearborn, MI 48126-3349

Phone 313-710-4199

Mailing address

12841 Ford Rd
Dearborn, MI 48126-3349

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