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1164481859
MICHAEL I GHILEZAN
PONTIAC, MI
NPI
1164481859
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Professional Name
MICHAEL I GHILEZAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MI 4301079938)
Enumeration Date
2006-03-21
Last Update Date
2022-01-24
Business Address
MICHAEL I GHILEZAN MD, PhD
70 FULTON ST
PONTIAC, MI 48341-2755
Phone number: 248-338-0300
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Mailing Address
MICHAEL I GHILEZAN MD, PhD
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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