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Individual

DR. VIDAL D BORROMEO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 W BIG BEAVER RD, STE. 130, BLOOMFIELD HILLS, MI 48304-3909
(248) 644-7355
(248) 644-6840
Mailing address
5505 WING LAKE RD, BLOOMFIELD HILLS, MI 48301-1250
(248) 626-0829

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
VB031765
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40645
BLUE CARE NETWORK
MI
Enumeration date
08/16/2005
Last updated
07/08/2007
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