Individual
NELDAGAE S CHISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36700 WOODWARD AVE, STE 203, BLOOMFIELD HILLS, MI 48304-0926
(248) 647-5750
(248) 647-6008
Mailing address
36700 WOODWARD AVE, STE 203, BLOOMFIELD HILLS, MI 48304-0926
(248) 647-5750
(248) 647-6008
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
4301022545
MI
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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