Provider Demographics
NPI:1588616650
Name:MAFEE, ALI F (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:F
Last Name:MAFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33330 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5529
Mailing Address - Country:US
Mailing Address - Phone:734-729-3080
Mailing Address - Fax:734-729-9435
Practice Address - Street 1:33330 PALMER RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5529
Practice Address - Country:US
Practice Address - Phone:734-729-3080
Practice Address - Fax:734-729-9435
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM033707207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1092160Medicare ID - Type Unspecified
MIE21186Medicare UPIN
MI0821976Medicare ID - Type Unspecified