Individual
DR. LISA MICHELLE TOMASELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HOSPITAL, 2799 W. GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-4843
Mailing address
1421 CHESAPEAKE, ROYAL OAK, MI 48067-4505
(954) 336-9296
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301085824
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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