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Individual

KHACHORNDEJ VIBHASIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
732 BROOKWOOD WALKE, BLOOMFIELD HILLS, MI 48304-1900
(248) 644-6360
(248) 644-6360
Mailing address
732 BROOKWOOD WALKE, BLOOMFIELD HILLS, MI 48304-1900
(248) 644-6360
(248) 644-6360

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301031487
MI

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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