Individual
LADAN AMINI-OROUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15450 NORTHLINE RD, STE 101, SOUTHGATE, MI 48195-2398
(734) 282-2020
(734) 282-2002
Mailing address
15450 NORTHLINE RD, STE 101, SOUTHGATE, MI 48195-2398
(734) 282-2020
(734) 282-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301080497
MI
Other
Enumeration date
02/02/2006
Last updated
01/31/2014
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