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Organization
STAMATIN INTERNAL MEDICINE PC
Active
Organization
STAMATIN INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICA STAMATIN MD (OWNER)
(248) 651-2620
Entity
Organization
Contact information
Practice address
330 W TIENKEN RD, SUITE C, ROCHESTER HILLS, MI 48306-4474
(248) 651-2620
(248) 651-9450
Mailing address
330 W TIENKEN RD, SUITE C, ROCHESTER HILLS, MI 48306-4474
(248) 651-2620
(248) 651-9450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4492
MEDICARE RR
—
Enumeration date
10/26/2006
Last updated
09/24/2008
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