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Individual

DR. MICHAEL E LULENSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22731 NEWMAN ST STE 250, DEARBORN, MI 48124-1930
(248) 344-9110
(248) 344-9111
Mailing address
32000 NORTHWESTERN HWY STE 215, FARMINGTON HILLS, MI 48334-1570
(248) 344-9110
(248) 344-9111

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
430107249
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301071249
LICENSE
MI
Enumeration date
05/25/2006
Last updated
11/05/2019
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