Individual
JOHN ALTEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4318 SQUIRREL RD, BLOOMFIELD HILLS, MI 48304-3062
(248) 712-4275
(248) 792-3985
Mailing address
4318 SQUIRREL RD, BLOOMFIELD HILLS, MI 48304-3062
(248) 712-4275
(248) 792-3985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704298826
MI
Other
Enumeration date
08/04/2023
Last updated
11/11/2023
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