Individual
DR. PERLITA P. ILEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4511
Mailing address
4344 STATE ST, SAGINAW, MI 48603-4074
(989) 791-0452
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301053977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301053977
STATE LICENSE
MI
Enumeration date
05/16/2006
Last updated
11/15/2007
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