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Organization
UNITED VISITING PHYSICIAN PLC
Active
Organization
UNITED VISITING PHYSICIAN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADWAN MALAS (PRACTICE MANAGER)
(248) 854-5357
Entity
Organization
Contact information
Practice address
18620 W 10 MILE RD, SUITE 212, SOUTHFIELD, MI 48075-2667
(248) 854-5357
Mailing address
18620 W 10 MILE RD, SUITE 212, SOUTHFIELD, MI 48075-2667
(248) 854-5357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301087281
MI
207R00000X
Internal Medicine Physician
4301091031
MI
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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