Provider Demographics
NPI:1366510893
Name:SOILE, REMI O (MD)
Entity type:Individual
Prefix:
First Name:REMI
Middle Name:O
Last Name:SOILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5374 MAVIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-763-3888
Mailing Address - Fax:
Practice Address - Street 1:20755 GREENFIELD RD STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5400
Practice Address - Country:US
Practice Address - Phone:248-557-0507
Practice Address - Fax:248-557-0480
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI69367207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine