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Organization

FAITHFUL, CARING& COMPASSIONATE DOCTORS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARON MARIE RODDY M.D. (PRESIDENT)
(248) 354-0767
Entity
Organization

Contact information

Practice address
19111 W 10 MILE RD, SUITE # 164, SOUTHFIELD, MI 48075-2417
(248) 354-0767
(248) 354-0806
Mailing address
19111 W 10 MILE RD, SUITE # 164, SOUTHFIELD, MI 48075-2449
(248) 354-0767
(248) 354-0806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1106335072
BCBS PIN
MI
05
3511909
MI
Enumeration date
12/12/2008
Last updated
12/12/2008
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