Individual
MARIO RAUL VILLALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD, SUITE 501, ROYAL OAK, MI 48073-6770
(248) 288-1130
Mailing address
3535 W 13 MILE RD, SUITE 501, ROYAL OAK, MI 48073-6770
(248) 288-1130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301084028
MI
Other
Enumeration date
05/14/2007
Last updated
10/23/2020
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