Provider Demographics
NPI:1114085123
Name:ALIMARIO, SOLON (MD)
Entity Type:Individual
Prefix:DR
First Name:SOLON
Middle Name:
Last Name:ALIMARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1370
Mailing Address - Country:US
Mailing Address - Phone:313-886-7931
Mailing Address - Fax:
Practice Address - Street 1:8033 E 10 MILE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1427
Practice Address - Country:US
Practice Address - Phone:586-977-2900
Practice Address - Fax:586-977-2992
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA034218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4558463Medicaid
MION71990008Medicare ID - Type Unspecified
MI4558463Medicaid