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Organization

K KAPORDELIS MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARILYN VESSELLA (MA)
(586) 779-9899
Entity
Organization

Contact information

Practice address
21421 KELLY RD, EASTPOINTE, MI 48021-3215
(586) 779-9899
(586) 773-7800
Mailing address
21421 KELLY RD, EASTPOINTE, MI 48021-3215
(586) 779-9899
(586) 773-7800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041225
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4690260
MI
Enumeration date
08/07/2007
Last updated
08/07/2007
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