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Individual

DR. ALBERTO JULIAN AVILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29201 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48034-7645
(249) 936-0067
(248) 716-5955
Mailing address
29201 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48034-7645
(248) 936-0067
(248) 716-5955

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301087507
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
4301087507
MI
208600000X
Surgery Physician
4301087507
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700E012740
BCBSM GROUP NUMBER
MI
Enumeration date
11/21/2006
Last updated
03/16/2022
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