Organization
MARIO R VILLALBA, JR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO R VILLALBA JR. MD (DOCTOR)
(248) 288-1130
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, #501, ROYAL OAK, MI 48073-6770
(248) 288-1130
(248) 288-5931
Mailing address
3535 W 13 MILE RD, #501, ROYAL OAK, MI 48073-6770
(248) 288-1130
(248) 288-5931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301084028
MI
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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