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Physicians Internal Medicine

Provider NPI: 1790988632

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 734-936-6666  Fax: 734-232-1218

Business Mailing Address:
3621 S STATE ST  ANN ARBOR, MI 48108-1633 US
Tel: 734-647-5299  Fax: --

NPI Information:
NPI: 1790988632
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Emergency Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207P00000X





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