ENRIQUE URDANIVIA

DEARBORN, MI
NPI1518917533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301037751)
Enumeration Date2006-05-11
Last Update Date2012-03-05
Business Address
ENRIQUE URDANIVIA
4700 SCHAEFER RD
DEARBORN, MI 48126-3698
Phone number: 313-581-2600
Mailing Address
ENRIQUE URDANIVIA
3234 MONTMARTE CIR
W BLOOMFIELD, MI 48323-3541
Phone number: 248-737-8043