Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 14, 2008
License(s)
MD.204455 (LA), 25MA08160000 (NJ), 2008019456 (MO), 4301100056 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2799 W GRAND BLVD K-14 CARDIOLOGY | Detroit, MI 48202-2608 | 313-916-2721 |
| LOCATION | 2799 W GRAND BLVD K-14 CARDIOLOGY | Detroit, MI 48202-2608 | 313-916-2721 |
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.