IndividualActive
Ali Bazzy, D.O.
NPI 1962882910 · Family Medicine Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1962882910
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101021541 (MI)
Practice location
20225 E 9 Mile Rd Ste a
Saint Clair Shores, MI 48080
Phone: (586) 779-8700
Fax: (586) 498-1425
Mailing address
20225 E 9 Mile Rd Ste a
Saint Clair Shores, MI 48080-1700
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.