Organization
ASPAN MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIBBAN DEOL MD (OWNER)
(313) 575-7865
Entity
Organization
Contact information
Practice address
3400 LIVERNOIS RD, TROY, MI 48083-5063
(248) 528-8001
(248) 528-8002
Mailing address
20816 E 11 MILE RD STE 110, SAINT CLAIR SHORES, MI 48081-1564
(586) 285-5783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078546
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301078546
MI
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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