Individual
ISAIAS S VILLAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29829 TELEGRAPH RD, SUITE L103, SOUTHFIELD, MI 48034-1330
(248) 352-9525
(248) 357-2959
Mailing address
29829 TELEGRAPH RD, SUITE L103, SOUTHFIELD, MI 48034-1330
(248) 352-9525
(248) 357-2959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301027315
MI
2085U0001X
Diagnostic Ultrasound Physician
4301027315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770819864
NPI MIDWEST FAMILY MEDICINE PLC
MI
01
—
300125459
MEDICARE RAILROAD
MI
05
—
4189190
—
MI
Enumeration date
05/05/2006
Last updated
01/27/2010
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