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1871998385
JOSE S EVANGELISTA III MD PC
WEST BLOOMFIELD, MI
NPI
1871998385
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Entity Type
Organization
Authorized Contact
JOSE S EVANGELISTA
Owner
248-890-9995
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 05865R)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
JOSE S EVANGELISTA III MD PC
7071 ORCHARD LAKE RD SUITE 333
WEST BLOOMFIELD, MI 48322-3613
Phone number: 248-890-9995
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Mailing Address
JOSE S EVANGELISTA III MD PC
7071 ORCHARD LAKE RD SUITE 333
WEST BLOOMFIELD, MI 48322-3613
Phone number: 248-890-9995
Copy
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