Madelyn Rose Aittama
Emergency Medicine in Detroit, MI. Individual provider (NPI-1).
NPI number1508482514
StatusActive
Last updated in NPPESJun 9, 2022
Details
- NPI
- 1508482514
- Entity type
- Individual (NPI-1)
- Name
- Madelyn Rose Aittama
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2020
- Certification date
- Jun 9, 2022
- Last updated
- Jun 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 4351049162 | MI | Yes |
Practice location
22101 Moross RdDetroit, MI 48236-2148
Phone 313-343-3400 · Fax 313-343-4056
Mailing address
22101 Moross RdDetroit, MI 48236-2148
Phone 313-343-3400 · Fax 313-343-4056
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