ALFONSO ACOSTA MD PC
Osteopathic Medicine at Ilanaway Dr, West Bloomfield, MI

License number
Michigan 4301064369
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. ALFONSO ACOSTA MD
Title: PRESIDENT
Phone: (586) 929-0842
Address
Address
7173 Ilanaway Dr, West Bloomfield, MI 48324
National Provider ID: 1184881971
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALFONSO ACOSTA, M.D., PC

West Bloomfield, MI

Industry:
Medical Doctor's Office, Family Doctor
Doing business as:
Alfonso Acosta MD PC<br>Alfonso Acosta MD
Registration:
Jan 5, 1999
Phone:
(586) 929-0842 (Phone)
Addresses:
7173 Ilanaway Dr, West Bloomfield, MI 48324 (Physical)
Michigan (Mailing)
State ID:
02515A
Business type:
Domestic Professional Service Corporation
Medical Doctor, President:
Alfonso Acosta (Medical Doctor, President)
Agent:
Alfonso Acosta Md

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