Individual
VANIKA LATH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22341 W 8 MILE RD, STE 201, DETROIT, MI 48219-1217
(313) 966-3222
Mailing address
PO BOX 321061, DETROIT, MI 48232-1061
(248) 543-8070
(248) 543-9005
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301073216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4781696
—
MI
Enumeration date
06/01/2006
Last updated
07/08/2007
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