Individual
ANITA MARIA NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1322
Mailing address
4646 JOHN R, DETROIT, MI 48201-1932
(313) 576-1322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063148
MI
208M00000X
Hospitalist Physician
Primary
4301063148
MI
Other
Enumeration date
06/01/2006
Last updated
09/02/2016
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