Individual
EDUARDO ABELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11180 GRATIOT AVE, SIUTE C, DETROIT, MI 48213-1363
(313) 372-7111
(313) 372-5509
Mailing address
27774 FRANKLIN RD, SOUTHFIELD, MI 48034-2352
(248) 356-5555
(248) 356-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301049903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4079134-10
—
MI
Enumeration date
08/18/2005
Last updated
03/05/2012
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