Individual
DR. CHRISTINA DOULAVERAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 500, SOUTHFIELD, MI 48075-4825
(248) 849-3441
Mailing address
3871 HOWARD AVE, WINDSOR, ONT N9G 1-N6
(226) 246-4627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301107303
MI
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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