Provider Demographics
NPI:1770164972
Name:ALNAJJAR, ANDY (DO)
Entity type:Individual
Prefix:
First Name:ANDY
Middle Name:
Last Name:ALNAJJAR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:28345 BECK RD STE 410
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-4745
Mailing Address - Country:US
Mailing Address - Phone:248-723-2400
Mailing Address - Fax:248-723-5794
Practice Address - Street 1:1109 W LONG LAKE RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1967
Practice Address - Country:US
Practice Address - Phone:248-723-2400
Practice Address - Fax:248-723-5794
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2024-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101027534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine