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Individual

MARIA VLACHAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 745-9191
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
231527
NY
2085R0001X
Radiation Oncology Physician
Primary
4301087410
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02547015
NY
05
4870830
MI
Enumeration date
08/03/2005
Last updated
07/08/2007
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