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Organization
VINCENT R C MARIBAO MD PC
Active
Organization
VINCENT R C MARIBAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT R. C. MARIBAO MD (OWNER)
(586) 498-1160
Entity
Organization
Contact information
Practice address
29167 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48081-1331
(586) 498-1160
Mailing address
29167 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48081-1331
(586) 498-1160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177064
—
MI
Enumeration date
07/11/2006
Last updated
08/04/2026
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