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Individual

EMILIO CARDONA-ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10248 W JEFFERSON AVE, RIVER ROUGE, MI 48218-1321
(313) 841-7575
(313) 841-1713
Mailing address
27774 FRANKLIN RD, SOUTHFIELD, MI 48034-2352
(248) 356-5555
(248) 356-5544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064038
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3477807-10
MI
Enumeration date
08/19/2005
Last updated
05/29/2014
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