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1891101432
IDIL EZHUTHACHAN
ROYAL OAK, MI
NPI
1891101432
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Former Name
IDIL DALOGLU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301105270)
Enumeration Date
2014-07-03
Last Update Date
2018-02-12
Business Address
IDIL EZHUTHACHAN M.D.
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-551-2040
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Mailing Address
IDIL EZHUTHACHAN M.D.
130 TOWN CENTER DR STE 203
TROY, MI 48084-1744
Phone number: 248-551-2040
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