Most Relevant Information
Provider Data
| NPI Number: | 1003183823 |
| Provider Name: | LILIA POPADIUK P.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2011 |
| Last Updated: | 12/27/2012 |
Provider Practice Location
6071 W OUTER DR
DETROIT
MI
482352624
Practice Location Phone/Fax
| Phone: | 3139930200 |
| Fax: |
Provider Mailing Location
6071 W OUTER DR
DETROIT
MI
482352624
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |