ILANA TIDUS

PONTIAC, MI
NPI1447831623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AZ  011226)
Enumeration Date2021-04-19
Last Update Date2024-08-12
Business Address
ILANA TIDUS DO
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392
Mailing Address
ILANA TIDUS DO
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392