Individual
DR. DIMITRE H DIMITROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 FULLER RD DEPT OF, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3235
Mailing address
2215 FULLER RD DEPT OF, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3235
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
446
MI
2084P0015X
Psychosomatic Medicine Physician
Primary
53629
MI
284300000X
Special Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301081427
PHYSICAIN LICENSE
MI
Enumeration date
07/10/2008
Last updated
07/10/2008
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