Providence Cardiology Services I
NPI #1023080694 in Southfield, Michigan
Provider Information
- NPI Number
- 1023080694
- Entity Type
- Organization
- Organization Name
- Providence Cardiology Services I
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 16001 W 9 MILE RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-4818
- Phone
- (248) 552-9858
Authorized Official
- Name
- ISSAC GRINBERG, M.D.
- Title
- PRESIDENT
- Phone
- (248) 552-9858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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