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Organization
LYLE D. VICTOR, MD, PC
Active
Organization
LYLE D. VICTOR, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE D VICTOR MD, MBA (PHYSICIAN)
(313) 436-2581
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, DEARBORN, MI 48124-5032
(313) 593-8620
(313) 593-8551
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 436-2581
(313) 436-2071
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
4301038979
MI
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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