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Individual

LISA MARIA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22250 PROVIDENCE DR STE 606, SOUTHFIELD, MI 48075-6214
(248) 557-9650
(248) 557-5035
Mailing address
22250 PROVIDENCE DR STE 606, SOUTHFIELD, MI 48075-6214
(248) 557-9650
(248) 557-5035

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
4301502404
MI

Other

Enumeration date
04/20/2015
Last updated
12/03/2021
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