Individual
MS. LIDIYA AYELE BILTIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DMC SINAI GRACE HOSPITAL, 4201 ST ANTOINE, DETROIT, MI 48201
(416) 848-6240
Mailing address
1824 KIRTS BLVD, TROY, MI 48084
(240) 310-5014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351048229
MI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/10/2021
Last updated
09/29/2021
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