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1013279371
NIKOLA CENGELOVA CONRAD
SAINT CLAIR SHORES, MI
NPI
1013279371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301101196)
Enumeration Date
2012-06-13
Last Update Date
2015-07-06
Business Address
Dr. NIKOLA CENGELOVA CONRAD M.D.
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081-1566
Phone number: 586-498-4400
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Mailing Address
Dr. NIKOLA CENGELOVA CONRAD M.D.
130 TOWN CENTER DR 203
TROY, MI 48084-1744
Phone number: 248-585-8265
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