Individual
JULIE MARIE LATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8101
Mailing address
12175 NOONAN CT, UTICA, MI 48315-5871
(586) 323-3022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NPI5101016802
MI
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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