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Individual

LAURA PERLMUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
18527 TRANQUIL ST, ROSEVILLE, MI 48066-4234
(586) 843-9850
Mailing address
18527 TRANQUIL ST, ROSEVILLE, MI 48066-4234
(586) 843-9850

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
2701370194
MI
302R00000X
Health Maintenance Organization
Primary
7501010094
MI

Other

Enumeration date
03/04/2017
Last updated
03/04/2017
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