THOMAS J RIDELLA

CANTON, MI
NPI1730641523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  74800)
Enumeration Date2019-04-02
Last Update Date2023-09-12
Business Address
THOMAS J RIDELLA MD
2050 N HAGGERTY RD STE 220
CANTON, MI 48187-3796
Phone number: 734-446-9757
Mailing Address
THOMAS J RIDELLA MD
26901 BEAUMONT BLVD # 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1952