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Individual

MRS. VICKI LYNN SOLWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5793 W MAPLE RD, #153, WEST BLOOMFIELD, MI 48322-4478
(248) 539-7726
(248) 539-7823
Mailing address
5793 W MAPLE RD, #153, WEST BLOOMFIELD, MI 48322-4478
(248) 539-7726
(248) 539-7823

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301048796
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4254762
MI
Enumeration date
08/12/2006
Last updated
03/26/2013
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