Individual provider · NPI-1

Ernesto R Drelichman, MD

Colon & Rectal Surgery · Southfield, MI

NPI number1801839899
StatusActive
Last updated in NPPESSep 16, 2011

Details

NPI
1801839899
Entity type
Individual (NPI-1)
Name
Ernesto R Drelichman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2006
Last updated
Sep 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery26148ALYes

Practice location

16001 W 9 Mile Rd
3rd Floor Fisher
Southfield, MI 48075-4818

Phone 248-849-6030

Mailing address

16001 W 9 Mile Rd
3rd Floor Fisher
Southfield, MI 48075-4818

Phone 248-849-6030

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