Individual
JULIAN JEBERAEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 PROVIDENCE, SOUTHFIELD, MI 48075
(248) 849-3281
Mailing address
2210 HARVARD CT, WEST BLOOMFIELD, MI 48323-1920
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
5151014577APP20
MI
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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