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1285479584
ANTONIO LIRA DIAZ
DETROIT, MI
NPI
1285479584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI 4351053238)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
ANTONIO LIRA DIAZ MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2600
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Mailing Address
ANTONIO LIRA DIAZ MD
1350 W BETHUNE ST APT 1606
DETROIT, MI 48202-2665
Phone number: 313-402-7608
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