Individual
MIRTA T SOLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Mailing address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301407374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630438
BLUE CROSS
MI
01
—
127723
CARE CHOICES
MI
05
—
3034559
—
MI
01
—
5927009
AETNA
MI
01
—
C3079
MCARE
MI
01
—
P80177
BLUE CROSS
MI
Enumeration date
06/11/2006
Last updated
07/08/2007
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