Individual
DR. MIRIAM TOVA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER SUITE 2E MEDICAL EDUCATION, DETROIT, MI 48201-2153
(313) 745-7999
Mailing address
19251 MACK AVE STE 333, GROSSE POINTE WOODS, MI 48236-2898
(313) 343-7280
(313) 343-7921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099181
MI
207RI0200X
Infectious Disease Physician
Primary
4301099181
MI
Other
Enumeration date
07/29/2011
Last updated
01/17/2018
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