Individual
MS. LILIA POPADIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 993-0200
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006194
MI
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBSM GROUP NUMBER
MI
Enumeration date
11/22/2011
Last updated
12/27/2012
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