Individual
STEPHANIE N PARAVENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Mailing address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501013736
MI
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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