Individual
MIHAELA A. LUPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18181 OAKWOOD BLVD, STE 208, DEARBORN, MI 48124
(313) 271-5670
(313) 271-1053
Mailing address
23300 ECORSE ROAD, TAYLOR, MI 48180-1768
(313) 291-9500
(313) 291-6694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ML068630
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H248450
BCBS MI
MI
05
—
4081722
—
MI
05
—
4081722-10
—
MI
Enumeration date
09/25/2006
Last updated
02/19/2010
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