Dalya S Shamon M.D.

NPI 1164657805 - Family Medicine - 207Q00000X

NPI Details
NPI 1164657805
Gender Female
Enumeration Date 05/26/2009
Last Updated 03/31/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4600 E 14 MILE RD
SUITE 1
WARREN MI, 48092-4369, US
Phone (586) 274-3400
Fax (586) 274-3411
Business Location
7455 GLENGROVE DR
BLOOMFIELD HILLS MI, 48301-3871, US
Phone (586) 879-3152
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301094062
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According to our database, Dalya S Shamon M.D. NPI is 1164657805, taxonomy code is 207Q00000X and license number is 4301094062, license state is located at Michigan. Dalya S Shamon M.D. physically located at 4600 E 14 Mile Rd, Warren MI, 48092-4369. NPI Number Dalya S Shamon M.D. has the Individual type.

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1164657805 NPI number is provided on an as is basis without warranty of any kind. 1164657805 is maintained by the National Plan & Provider Enumeration System. The contents of Dalya S Shamon M.D. are for informational purposes only.