Individual
HERIK RODRIGO ACOSTA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR. #7PMB SUITE 703A, SOUTHFIELD, MI 48075
(248) 849-5862
Mailing address
22250 PROVIDENCE DRIVE, 7PMB SUITE #703A, SOUTHFIELD, MI 48075-4818
(248) 849-5862
(248) 849-8117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
02/09/2023
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