Individual
TINA PAUL PATHADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27970 ORCHARD LAKE RD, SUITE 4, FARMINGTON HILLS, MI 48334-3767
(248) 737-2555
Mailing address
17187 SCHAEFER HWY, SUITE 4, DETROIT, MI 48235-4132
(313) 367-2767
(313) 367-2818
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101018954
MI
Other
Enumeration date
06/30/2009
Last updated
04/21/2016
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