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1215674320
TIM COLOMBO
DETROIT, MI
NPI
1215674320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351049824)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
TIM COLOMBO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
TIM COLOMBO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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