PROVIDENCE CARDIOLOGY SERVICES I

SOUTHFIELD, MI
NPI1023080694
Entity TypeOrganization
Authorized ContactISSAC GRINBERG
President
248-552-9858
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
Enumeration Date2006-02-07
Last Update Date2012-04-19
Business Address
PROVIDENCE CARDIOLOGY SERVICES I
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-552-9858
Mailing Address
PROVIDENCE CARDIOLOGY SERVICES I
22250 PROVIDENCE DR SUITE 705
SOUTHFIELD, MI 48075-4825
Phone number: 248-552-9858