Individual
DR. AIMEE F LUAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST., CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5788
(313) 745-0955
Mailing address
4201 ST. ANTIONE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301082592
MI
2084N0600X
Clinical Neurophysiology Physician
4301082592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183872001
—
AR
Enumeration date
02/19/2008
Last updated
06/13/2014
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