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1174253025
HERIK RODRIGO ACOSTA GONZALEZ
SOUTHFIELD, MI
NPI
1174253025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-14
Last Update Date
2023-02-09
Business Address
HERIK RODRIGO ACOSTA GONZALEZ M.D.
22250 PROVIDENCE DR. #7PMB SUITE 703A
SOUTHFIELD, MI 48075
Phone number: 248-849-5862
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Mailing Address
HERIK RODRIGO ACOSTA GONZALEZ M.D.
22250 PROVIDENCE DRIVE 7PMB SUITE #703A
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-5862
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