Individual
NATALIA FILIPOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20030 MACK AVE, GROSSE POINTE WOODS, MI 48236-2323
(313) 884-3380
(313) 884-9756
Mailing address
581 BALLANTYNE RD, GROSSE POINTE SHORES, MI 48236-2635
(586) 945-1652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301063501
STATE LICENSE
MI
Enumeration date
08/30/2006
Last updated
10/08/2020
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