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Individual

DR. LUNINGNING V REGALADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4020 VENOY RD, WAYNE, MI 48184-1869
(734) 728-2909
(734) 728-3015
Mailing address
4020 VENOY RD, WAYNE, MI 48184-1869
(734) 728-2909
(734) 728-3015

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032298
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
032298
STATE LICENSE
MI
Enumeration date
11/15/2006
Last updated
09/04/2007
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