TONI BALLITCH TRATE DO PC NPI 1932396538

NPI Information

TONI BALLITCH TRATE DO PC is a general practice in Farmington Hills, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TONI BALLITCH TRATE DO PC NPI is 1932396538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38215 W 10 MILE RD STE 8
FARMINGTON HILLS, MI
ZIP 48335-866
Phone: (248) 474-0955
Fax: (248) 474-1066

The provider's authorized official is Daryl Trate .
The authorized official title is Business Manager and has the following contact phone number (248) 819-7486.

The CLIA number assigned to this NPI record is 23D1036029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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