Individual
MR. MANHAL WADIE TOBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18161 W 12 MILE RD, STE 2, LATHRUP VILLAGE, MI 48076
(248) 552-1200
(248) 552-1201
Mailing address
18161 W 12 MILE RD, STE 2, LATHRUP VILLAGE, MI 48076
(248) 552-1200
(248) 552-1201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT68505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4416833
—
MI
Enumeration date
05/18/2006
Last updated
08/11/2017
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