Individual
ANGELA CONSUELO RICAURTE-VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
500 KIRTS BLVD STE 200, TROY, MI 48084-4140
(800) 759-7291
Mailing address
500 KIRTS BLVD STE 200, TROY, MI 48084-4140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301108653
MI
Other
Enumeration date
07/30/2012
Last updated
01/08/2016
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