Provider Demographics
NPI:1922028778
Name:LIVONIA INTERNAL MEDICINE ASSOCIATES PC
Entity Type:Organization
Organization Name:LIVONIA INTERNAL MEDICINE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMADEO
Authorized Official - Middle Name:ROMULO
Authorized Official - Last Name:STURLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-442-1400
Mailing Address - Street 1:20311 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1411
Mailing Address - Country:US
Mailing Address - Phone:248-442-1400
Mailing Address - Fax:248-442-1404
Practice Address - Street 1:20311 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1411
Practice Address - Country:US
Practice Address - Phone:248-442-1400
Practice Address - Fax:248-442-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty