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Organization
GERALD F DANESHVAR MD PLLC
Active
Organization
GERALD F DANESHVAR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD DANESHVAR MD (PRESIDENT)
(734) 657-6317
Entity
Organization
Contact information
Practice address
13201 STEPHENS RD STE F, WARREN, MI 48089-4340
(586) 576-7428
(586) 576-7429
Mailing address
13201 STEPHENS RD STE F, WARREN, MI 48089-4340
(586) 576-7428
(586) 576-7429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301081745
MI
Other
Enumeration date
09/02/2014
Last updated
10/14/2014
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