Provider Demographics
NPI:1992025811
Name:VEALE, MOLLY ANN (DO)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:VEALE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4967 CROOKS RD
Mailing Address - Street 2:STE 130
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-5801
Mailing Address - Country:US
Mailing Address - Phone:248-952-1601
Mailing Address - Fax:248-952-1614
Practice Address - Street 1:11800 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3472
Practice Address - Country:US
Practice Address - Phone:734-464-0887
Practice Address - Fax:734-402-0254
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2015-07-29
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Provider Licenses
StateLicense IDTaxonomies
MI5101018595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine