Provider Demographics
NPI:1972343085
Name:ALNIMER, ABAN
Entity type:Individual
Prefix:
First Name:ABAN
Middle Name:
Last Name:ALNIMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6071 OUTER DR. W
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-459-6572
Mailing Address - Fax:313-966-1738
Practice Address - Street 1:6071 OUTER DR. W
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-459-6572
Practice Address - Fax:313-966-1738
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2025-02-10
Deactivation Date:2025-01-14
Deactivation Code:
Reactivation Date:2025-02-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program