MADELYN ROSE AITTAMA

DETROIT, MI
NPI1508482514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  4351049162)
Enumeration Date2020-06-25
Last Update Date2022-06-09
Business Address
MADELYN ROSE AITTAMA
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3400
Mailing Address
MADELYN ROSE AITTAMA
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3400