JOSE S EVANGELISTA III MD PC

WEST BLOOMFIELD, MI
NPI1871998385
Entity TypeOrganization
Authorized ContactJOSE S EVANGELISTA
Owner
248-890-9995
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  05865R)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
JOSE S EVANGELISTA III MD PC
7071 ORCHARD LAKE RD SUITE 333
WEST BLOOMFIELD, MI 48322-3613
Phone number: 248-890-9995
Mailing Address
JOSE S EVANGELISTA III MD PC
7071 ORCHARD LAKE RD SUITE 333
WEST BLOOMFIELD, MI 48322-3613
Phone number: 248-890-9995