RALPH J TIDALGO

SOUTHFIELD, MI
NPI1427168525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301045963)
Enumeration Date2006-08-30
Last Update Date2017-01-01
Business Address
-- RALPH J TIDALGO MD
26645 W 12 MILE RD STE 109
SOUTHFIELD, MI 48034-7811
Phone number: 248-797-5293
Mailing Address
-- RALPH J TIDALGO MD
4889 OLD POST CT
BLOOMFIELD HILLS, MI 48301-3554
Phone number: 248-320-6409