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1831832104
EVANGELOS BISTAS
DETROIT, MI
NPI
1831832104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
EVANGELOS BISTAS MD
340 E. CANFIELD 4374 SCOTT HALL
DETROIT, MI 48201
Phone number: 313-577-0714
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Mailing Address
EVANGELOS BISTAS MD
37436 SPRING LN
FARMINGTON HILLS, MI 48331-3714
Phone number:
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