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Organization
SUNRISE TELEMED PLLC
Active
Organization
SUNRISE TELEMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L CARDONA-ORTIZ MD (PRESIDENT)
(248) 499-6590
Entity
Organization
Contact information
Practice address
989 UNIVERSITY DR STE 102, PONTIAC, MI 48342-1885
(248) 499-6590
Mailing address
989 UNIVERSITY DR STE 102, PONTIAC, MI 48342-1885
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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