Individual
NEGEAN VANDORDAKLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13900 PARKVIEW LN, APT 203, SOUTHGATE, MI 48195-3409
(310) 658-3213
Mailing address
13900 PARKVIEW LN, APT 203, SOUTHGATE, MI 48195-3409
(310) 658-3213
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092691
MI
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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