ANGEL ROLANDO PERALTA-AVILA

DETROIT, MI
NPI1326354937
Other NameANGEL ROLANDO PERALTA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  4301113201)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  c175635)
207R00000X Internal Medicine
(Licence: MO  2010020280)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  C175635)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA  C175635)
Enumeration Date2010-08-20
Last Update Date2023-01-13
Business Address
ANGEL ROLANDO PERALTA-AVILA MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-653-6568
Mailing Address
ANGEL ROLANDO PERALTA-AVILA MD
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 800-653-6568