Organization
FORDSON MEDICAL GROUP PC
Active
Other names
WARREN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
SALAHUDDIN AHMAD (PRESIDENT)
(313) 558-9869
Entity
Organization
Contact information
Practice address
16921 W WARREN AVE, DETROIT, MI 48228-3504
(313) 558-9869
Mailing address
16921 W WARREN AVE, DETROIT, MI 48228-3504
(313) 558-9869
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
037730
MI
2084N0400X
Neurology Physician
Primary
062248
MI
2084N0400X
Neurology Physician
405774
MI
208D00000X
General Practice Physician
062441
MI
Other
Enumeration date
04/18/2007
Last updated
04/27/2017
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