Individual
RADU GABRIEL ILIESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36400 WOODWARD AVE STE 202, BLOOMFIELD HILLS, MI 48304-0913
(248) 702-4177
(248) 957-1490
Mailing address
36400 WOODWARD AVE STE 202, BLOOMFIELD HILLS, MI 48304-0913
(248) 702-4177
(248) 957-1490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301503887
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301503887
MI
Other
Enumeration date
03/22/2017
Last updated
02/24/2024
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