Individual provider · NPI-1

Maryam Aleissa, MD

Colon & Rectal Surgery · Southfield, MI

NPI number1508549676
StatusActive
Last updated in NPPESAug 7, 2023

Details

NPI
1508549676
Entity type
Individual (NPI-1)
Name
Maryam Aleissa
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2023
Certification date
Aug 7, 2023
Last updated
Aug 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery4351051402MIYes

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone 248-849-2513

Mailing address

16001 W 9 Mile Fisher Bldg Rm405
Southfield, MI 48075-4818

Phone 248-849-2513

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