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1194475269
PHILIP IVAN-FRANCIS FERNANDES
DETROIT, MI
NPI
1194475269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
PHILIP IVAN-FRANCIS FERNANDES MD
22201 MOROSS RD STE 250
DETROIT, MI 48236-2175
Phone number: 313-343-3800
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Mailing Address
PHILIP IVAN-FRANCIS FERNANDES MD
22201 MOROSS RD STE 250
DETROIT, MI 48236-2175
Phone number: 313-343-3800
Copy
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