A. PETER EVANGELISTA, MD, PC

NPI 1538616008 Active Internal Medicine

Quick Facts

NPI Number

1538616008

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2016-09-01

Last Updated (NPPES)

2016-09-01

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	4301108922 MI

Practice Address

10475 FARMINGTON RD
LIVONIA, MI 481505704

Phone: 734-427-9440

Fax: 734-427-1071

Mailing Address

7071 ORCHARD LAKE RD
WEST BLOOMFIELD, MI 483223613

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