Individual
DR. SONELA BLACERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
(313) 724-9000
(313) 982-1541
Mailing address
5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
(313) 724-9000
(313) 982-1541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020507
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101020507
MI
Other
Enumeration date
06/28/2013
Last updated
05/01/2020
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