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1194741637
FERNANDO MEDINA
BINGHAM FARMS, MI
NPI
1194741637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301500051)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- FERNANDO MEDINA M.D.
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
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Mailing Address
-- FERNANDO MEDINA M.D.
8004 NW NORWICK AVE
LAWTON, OK 73505-4034
Phone number:
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