Individual
DR. EFSTATHIOS S TAPAZOGLOU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11900 E 12 MILE RD, SUITE 210, WARREN, MI 48093-3400
(586) 558-4700
(586) 558-4706
Mailing address
11900 E 12 MILE RD, SUITE 210, WARREN, MI 48093-3400
(586) 558-4700
(586) 558-4706
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ET040673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ET040673
LICENSE NUMBER
MI
Enumeration date
11/16/2005
Last updated
07/08/2007
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