NPI 1053971390 · live from the CMS NPI Registry
Jarred Ali, DPM
Podiatrist, Foot & Ankle Surgery in Wyandotte, MI. National Provider Identifier 1053971390, active.
NPI record
| NPI | 1053971390 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1628 Ford Ave, Wyandotte, MI 48192 |
| Practice phone | 734-284-1333 |
| Mailing address | 5450 Fort St, Trenton, MI 48183 |
| Enumerated | June 18, 2019 |
| Last updated | October 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5951001348 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.