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1871170795
MEDEA SHANIDZE
DETROIT, MI
NPI
1871170795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
Dr. MEDEA SHANIDZE MD
22151 MOROSS RD STE 214
DETROIT, MI 48236-2151
Phone number: 313-343-4867
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Mailing Address
Dr. MEDEA SHANIDZE MD
22151 MOROSS RD STE 214
DETROIT, MI 48236-2151
Phone number: 313-343-4867
Copy
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