Individual
IRYL FELICIDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2033 HARNED DR, TROY, MI 48085-1046
(248) 689-2056
(248) 689-4283
Mailing address
2033 HARNED DR, TROY, MI 48085-1046
(248) 689-2056
(248) 689-4283
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AS500012029
MI
171W00000X
Contractor
AS500363588
MI
171W00000X
Contractor
AS630066532
MI
171W00000X
Contractor
AS630079486
MI
Other
Enumeration date
05/03/2017
Last updated
07/29/2019
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