Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Dec 11, 2007
License(s)
P1039 (TX), 4301101627 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6050 GREENFIELD RD SUITE 101 | Dearborn, MI 48126-6004 | 313-945-9000 |
| LOCATION | 6050 GREENFIELD RD SUITE 101 | Dearborn, MI 48126-6004 | 313-945-9000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.