# CARDIOVASCULAR CLINICAL ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1588829345
- **Authorized official:** MARK A RASAK D. O. (BOARD MEMBER)
- **Authorized official phone:** (248) 615-7300

## Contact information

- **Practice address:** 23822 FORD RD, DEARBORN HEIGHTS, MI 48127-3245
- **Practice address phone:** (313) 359-0200
- **Practice address fax:** (313) 359-0202
- **Mailing address:** 28080 GRAND RIVER AVE, SUITE 300W, FARMINGTON HILLS, MI 48336-5966
- **Mailing address phone:** (248) 615-7300
- **Mailing address fax:** (248) 615-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008