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Organization

NINUL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR ABIRAGI M.D., (FAMILY PRACTICE/PLASTIC SURGERY)
(248) 525-5314
Entity
Organization

Contact information

Practice address
637 E BIG BEAVER RD, TROY, MI 48083-1423
(248) 525-5314
(877) 353-2634
Mailing address
23679 CALABASAS RD, STE 784, CALABASAS, CA 91302-1502
(248) 525-5314
(877) 353-2634

Taxonomy

Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4901239
MI
Enumeration date
04/29/2010
Last updated
09/24/2010
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