Individual provider · Type 1 NPI

Herik Rodrigo Acosta Gonzalez, MD

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1174253025 Active

Practice location

22250 Providence Dr. #7PMB Suite 703A
Southfield, MI 48075

Call (248) 849-5862 Map

Mailing address

22250 Providence Drive, 7PMB Suite #703A
Southfield, MI 48075-4818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174253025

Herik Rodrigo Acosta Gonzalez, MD's National Provider Identifier is 1174253025, issued on Jun 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Feb 9, 2023.