Individual
JOSEPH DEDVUKAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
809 BEACONSFIELD AVE APT 2N, GROSSE POINTE PARK, MI 48230-1795
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4351048366
MI
Other
Enumeration date
05/20/2021
Last updated
06/29/2021
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