Individual provider · NPI-1

Aly S Abdel-Mageed, MD

Pediatrics, Pediatric Hematology-Oncology · Grand Rapids, MI

NPI number1851361190
StatusActive
Last updated in NPPESMar 16, 2011

Details

NPI
1851361190
Entity type
Individual (NPI-1)
Name
Aly S Abdel-Mageed
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2006
Last updated
Mar 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0207X Pediatrics, Pediatric Hematology-Oncology4301082083MIYes

Practice location

100 Michigan St Ne
Mc 109 Attn Julie L
Grand Rapids, MI 49503-2560

Phone 616-643-9347

Mailing address

100 Michigan St Ne
Grand Rapids, MI 49503-2560

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