Individual
GEORGE TOLENTINO MARISTELA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43455 SCHOENHERR RD, SUITE 2, STERLING HEIGHTS, MI 48313-1951
(586) 726-4823
(586) 726-8365
Mailing address
43455 SCHOENHERR RD, SUITE 2, STERLING HEIGHTS, MI 48313-1951
(586) 726-4823
(586) 726-8365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082643
MI
Other
Enumeration date
01/16/2008
Last updated
07/01/2010
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