| NPI | 1629033683 |
|---|---|
| Other Name | PH CARDIOLOGY II/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-11-15 |