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Asilis Jose Defran, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1467202051

Asilis Jose Defran is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Asilis Jose Defran practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Asilis Jose Defran is 1467202051 and holds a License No. (Michigan).

The current practice location address for Asilis Jose Defran is 22250 Providence Drive 7Pmb Suite #703A, Southfield, MI and can be reached out via phone at 248-849-5862 and via fax at 248-849-8117.

Location: 22250 Providence Drive 7Pmb Suite #703A, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467202051
Provider Name
Asilis Jose Defran
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Drive 7Pmb Suite #703A, Southfield, MI, 48075-4818
Phone Number
248-849-5862
Fax Number
248-849-8117
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Drive 7Pmb Suite #703A
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-5862
Fax Number
248-849-8117
person
Provider Business Mailing Address Details
Address
22250 Providence Drive 7Pmb Suite #703A
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-5862
Fax Number
248-849-8117
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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