Individual
DR. ANNA JONASCU-DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11700 METRO AIRPORT CENTER DR, ROMULUS, MI 48174-1456
(734) 955-7000
Mailing address
8901 WARREN RD, PLYMOUTH, MI 48170-5119
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
059584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104166964
—
MI
05
—
104335280
—
MI
01
—
AJ059584
BLUE SHIELD
MI
Enumeration date
06/18/2006
Last updated
06/23/2009
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