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Organization
CARDIOVASCULAR CLINICAL ASSOCIATES, PC
Active
Organization
CARDIOVASCULAR CLINICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A RASAK D. O. (BOARD MEMBER)
(248) 615-7300
Entity
Organization
Contact information
Practice address
23822 FORD RD, DEARBORN HEIGHTS, MI 48127-3245
(313) 359-0200
(313) 359-0202
Mailing address
28080 GRAND RIVER AVE, SUITE 300W, FARMINGTON HILLS, MI 48336-5966
(248) 615-7300
(248) 615-7333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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