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Individual

SHILPA NILESH RAMEKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3395 MALLARD LN, LAKE ORION, MI 48360-2543
(248) 403-4121
Mailing address
3395 MALLARD LN, LAKE ORION, MI 48360-2543
(248) 403-4121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704298289
MI
363LF0000X
Family Nurse Practitioner
Primary
4704298289
MI

Other

Enumeration date
01/23/2025
Last updated
02/23/2025
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