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Organization
LIBERTY CARDIOLVASCULAR GROUP PLLC
Active
Organization
LIBERTY CARDIOLVASCULAR GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDY A CASSEL (MANAGER)
(313) 724-9000
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DR STE 300L, DEARBORN, MI 48126-2619
(313) 593-8988
(313) 982-1541
Mailing address
5250 AUTO CLUB DR STE 300L, DEARBORN, MI 48126-2619
(313) 593-8988
(313) 982-1541
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301056091
MI
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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