IMELDA E DE VERA

ROYAL OAK, MI
NPI1285958736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  5101018657)
Enumeration Date2010-03-25
Last Update Date2015-07-30
Business Address
-- IMELDA E DE VERA D.O.
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
Mailing Address
-- IMELDA E DE VERA D.O.
1719 W BIG BEAVER RD
TROY, MI 48084-3510
Phone number: 248-458-0400