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Adelbert Evangelista Pc
Specialist in Livonia, Michigan
NPI 1215122064

Adelbert Evangelista Pc is a Specialist based in Livonia, MI. Adelbert Evangelista Pc practices in Livonia, MI. The NPI Number for Adelbert Evangelista Pc is 1215122064 and holds a License No. 4301081292 (Michigan).

The current practice location address for Adelbert Evangelista Pc is 10475 Farmington Rd, Livonia, MI and can be reached out via phone at 734-427-8081 and via fax at 734-427-1701.

Location: 10475 Farmington Rd, Livonia, MI, 48150-5704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215122064
Provider Name
Adelbert Evangelista Pc
Credential
Provider Entity Type
Organization
Address
10475 Farmington Rd, Livonia, MI, 48150-5704
Phone Number
734-427-8081
Fax Number
734-427-1701
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0808208032 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
10475 Farmington Rd
City
Livonia
State
Michigan
Zip
48150-5704
Phone Number
734-427-8081
Fax Number
734-427-1701
person
Provider Business Mailing Address Details
Address
10475 Farmington Rd
City
Livonia
State
Michigan
Zip
48150-5704
Phone Number
734-427-8081
Fax Number
734-427-1701
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301081292 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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