Individual
DR. BLERTA LICI GAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7112 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 509-0055
Mailing address
7112 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 509-0055
(626) 517-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023213
MI
Other
Enumeration date
02/19/2017
Last updated
04/19/2024
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