# GERALD F DANESHVAR MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316347917
- **Authorized official:** GERALD DANESHVAR MD (PRESIDENT)
- **Authorized official phone:** (734) 657-6317

## Contact information

- **Practice address:** 13201 STEPHENS RD STE F, WARREN, MI 48089-4340
- **Practice address phone:** (586) 576-7428
- **Practice address fax:** (586) 576-7429
- **Mailing address:** 13201 STEPHENS RD STE F, WARREN, MI 48089-4340
- **Mailing address phone:** (586) 576-7428
- **Mailing address fax:** (586) 576-7429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301081745 | MI | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 10/14/2014