Organization
MEDICAL DOCTORS OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVINA COVACHA ROSAL MD (CLINICAL DIRECTOR)
(248) 240-0077
Entity
Organization
Contact information
Practice address
5460 DOHERTY ST, WEST BLOOMFIELD, MI 48323-3419
(248) 240-0077
Mailing address
5460 DOHERTY ST, WEST BLOOMFIELD, MI 48323-3419
(248) 240-0077
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301034721
MI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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