Individual
DR. THEA DE JESUS CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, CFP-304, DETROIT, MI 48202-2608
(313) 916-2573
Mailing address
5430 WESSEX CT, APT. 209, DEARBORN, MI 48126-4266
(313) 271-0503
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301087590
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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