Individual provider · Type 1 NPI

Isabel A. Randolph, MD

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

NPI number 1801477492 Active

Practice location

540 E Canfield St Rm 4374
Detroit, MI 48201-1928

Call (313) 577-0714 Map

Mailing address

4201 Saint Antoine St
Detroit, MI 48201-2153

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 1801477492

Isabel A. Randolph, MD's National Provider Identifier is 1801477492, issued on Apr 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 7, 2022.