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Organization
SLEEP DIAGNOSTIC CENTER OF MICHIGAN
Active
Organization
SLEEP DIAGNOSTIC CENTER OF MICHIGAN
Active
Parent organization
LIVONIA DIAGNOSTIC CENTER,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVONIA DIAGNOSTIC CENTER,P.C.
Authorized official
DR. JOSE L EVANGELISTA MD (MD)
(734) 427-9440
Entity
Organization
Contact information
Practice address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0182
(734) 727-0441
Mailing address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0182
(734) 727-0441
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301031560
MI
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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