Individual
PATRICIA DELOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Mailing address
1746 MOMENTUM PL, CHICAGO, IL 60689-5317
(586) 731-8400
(586) 731-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301055902
MI
208M00000X
Hospitalist Physician
Primary
4301055902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4846360
—
MI
01
—
PD055902
BCBSM
MI
Enumeration date
06/02/2005
Last updated
08/29/2011
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