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Organization

EVANGELISTA MD PLLC

Active
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Organization

EVANGELISTA MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER M RHEE (OWNER)
(734) 427-8081
Entity
Organization

Contact information

Practice address
10475 FARMINGTON RD, LIVONIA, MI 48150-5704
(734) 427-8081
Mailing address
10475 FARMINGTON RD, LIVONIA, MI 48150-5704

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
05/18/2015
Last updated
05/18/2015
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