Organization
DANESHVAR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD DANESHVAR (OWNER)
(586) 576-7428
Entity
Organization
Contact information
Practice address
13201 STEPHENS RD, SUITE F, WARREN, MI 48089-4340
(586) 576-7428
Mailing address
13201 STEPHENS RD, SUITE F, WARREN, MI 48089-4340
(586) 576-7428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301081745
MI
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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