Individual
DR. PABLO - ANTONIO YSUNZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D., PH. D.
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6770
(248) 551-2100
(248) 551-4692
Mailing address
541 LONGFELLOW DR, TROY, MI 48085-4814
(248) 551-2100
(248) 551-4692
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301104204
MI
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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