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Organization
TISA K TESTAI DO.,PC
Active
Organization
TISA K TESTAI DO.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISA K TESTAI DO (DOCTOR)
(248) 651-9700
Entity
Organization
Contact information
Practice address
1460 WALTON BLVD, SUITE 206, ROCHESTER HILLS, MI 48309-1768
(248) 651-9700
(248) 651-9701
Mailing address
1460 WALTON BLVD, SUITE 206, ROCHESTER HILLS, MI 48309-1768
(248) 651-9700
(248) 651-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TG011081
MI
Other
Enumeration date
08/14/2007
Last updated
03/28/2011
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