Individual
LILIA PERESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5570 STATE ST, SAGINAW, MI 48603-3583
(989) 583-0100
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301500558
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
12/30/2019
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