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NPI Code Detail

MEDICARE: DR. VILMA DRELICHMAN MD

MEDICARE:  DR. VILMA  DRELICHMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianVD041488MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013957893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VILMA DRELICHMAN MD
Provider Business Mailing Address
First Line : 22301 FOSTER WINTER DR
Second Line : 2ND FLOOR
City : SOUTHFIELD
State : MI
Zip : 48075-3707
Country : US
Telephone Number : 248-552-0620
Fax Number : 248-552-0286
Provider Business Practice Location Address
First Line : 22301 FOSTER WINTER DR
Second Line : 2ND FLOOR
City : SOUTHFIELD
State : MI
Zip : 48075-3707
Country : US
Telephone Number : 248-552-0620
Fax Number : 248-552-0286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/17/2011

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Directions to “ DR. VILMA DRELICHMAN MD” Practice Location

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