Lyle D. Victor, Md, Pc

NPI 1053518373 - Clinic/Center - 261QS1200X

NPI Details
NPI 1053518373
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYLE D LYLE
Position PHYSICIAN
Phone (313) 593-8620
Fax (313) 593-8551
Practice Location
18181 OAKWOOD BLVD
DEARBORN MI, 48124-5032, US
Phone (313) 593-8620
Fax (313) 593-8551
Business Location
18101 OAKWOOD BLVD
DEARBORN MI, 48124-4089, US
Phone (313) 436-2581
Fax (313) 436-2071
Toxanomy
Taxonomy Code 261QS1200X
License State Michigan
License Number 4301038979
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According to our database, Lyle D. Victor, Md, Pc NPI is 1053518373, taxonomy code is 261QS1200X and license number is 4301038979, license state is located at Michigan. Lyle D. Victor, Md, Pc physically located at 18181 Oakwood Blvd, Dearborn MI, 48124-5032. NPI Number 1033115704 has the healthcare provider type.

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1053518373 NPI number is provided on an as is basis without warranty of any kind. 1053518373 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle D. Victor, Md, Pc are for informational purposes only.