| Felipe Videla MD PC | |
|
G5154 Miller Rd Suite Cn Flint MI 48507 | |
| (810) 733-0710 | |
| (810) 733-0715 |
| Full Name | Felipe Videla MD PC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | G5154 Miller Rd, Flint, Michigan |
| Authorized Official Name and Position | Felipe Videla (OWNER) |
| Authorized Official Contact | 8107330710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Felipe Videla MD PC G5154 Miller Rd Suite Cn Flint MI 48507 Ph: (810) 733-0710 | Felipe Videla MD PC G5154 Miller Rd Suite Cn Flint MI 48507 Ph: (810) 733-0710 |
| NPI Number | 1043382591 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043382591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301029345 (Michigan) | Primary |
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