Organization · Type 2 NPI

Providence Cardiology Services I

Cardiovascular Disease Physician · Southfield, MI

NPI number 1023080694 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Fax (248) 552-9510

Mailing address

22250 Providence Dr, Suite 705
Southfield, MI 48075-4825

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1023080694

Providence Cardiology Services I's National Provider Identifier is 1023080694, issued on Feb 7, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Southfield, MI. The record was last updated on Apr 19, 2012.