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1114095858
EWA LACKA
DETROIT, MI
NPI
1114095858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 4301067667)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
EWA LACKA M.D.
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Phone number: 313-916-2436
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Mailing Address
EWA LACKA M.D.
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Phone number: 313-916-2436
Copy
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