Sleep Diagnostic Center of Michigan

NPI #1780903526 in Wayne, Michigan

Provider Information

NPI Number: 1780903526
Entity Type: Organization
Organization Name: Sleep Diagnostic Center of Michigan
Subpart: Yes (part of a larger organization)
Parent Organization: LIVONIA DIAGNOSTIC CENTER,P.C.
Primary Specialty: Legal Medicine
Enumeration Date: May 19, 2010
Last Updated: May 19, 2010

Practice Location

Address: 3999 VENOY RD
City: Wayne
State: Michigan
ZIP Code: 48184-1485
Phone: (734) 727-0182

Authorized Official

Name: DR. JOSE L EVANGELISTA, MD
Title: MD
Phone: (734) 427-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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