Organization
HOSPITALIST & PALLIATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONALI WILBORN MD (OWNER)
(313) 563-3332
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
(313) 563-3342
Mailing address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
(313) 563-3342
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H243080
BCBS MICHIGAN
MI
05
—
1427297712
—
MI
Enumeration date
02/11/2009
Last updated
11/22/2010
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