Organization
MARIO R VILLALBA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO R VILLALBA MD (PRESIDENT)
(248) 288-1130
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, #501, ROYAL OAK, MI 48073-6770
(248) 288-1130
(248) 288-5931
Mailing address
3535 W 13 MILE RD, #501, ROYAL OAK, MI 48073-6770
(248) 288-1130
(248) 288-5931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MV034498
MI
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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