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1518917533
ENRIQUE URDANIVIA
DEARBORN, MI
NPI
1518917533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301037751)
Enumeration Date
2006-05-11
Last Update Date
2012-03-05
Business Address
ENRIQUE URDANIVIA
4700 SCHAEFER RD
DEARBORN, MI 48126-3698
Phone number: 313-581-2600
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Mailing Address
ENRIQUE URDANIVIA
3234 MONTMARTE CIR
W BLOOMFIELD, MI 48323-3541
Phone number: 248-737-8043
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