Organization
VHS PHYSICIANS OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON W MADDOX MD (PHYSICIAN OWNER)
(313) 832-6034
Entity
Organization
Contact information
Practice address
4160 JOHN R, STE 708, DETROIT, MI 48201
(313) 832-6034
(313) 832-7849
Mailing address
4160 JOHN R ST STE 404S, DETROIT, MI 48201-2021
(248) 450-3507
(248) 796-0177
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301038283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0826215
BCBS
MI
Enumeration date
08/10/2006
Last updated
01/23/2019
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