Organization
BLESSED MC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ESTEBAN VILLA (PRESIDENT)
(313) 772-0406
Entity
Organization
Contact information
Practice address
34441 8 MILE RD, STE 104, LIVONIA, MI 48152-4013
(313) 772-0406
Mailing address
34441 8 MILE RD, STE 104, LIVONIA, MI 48152-4013
(313) 772-0406
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/24/2007
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