Organization
GREAT LAKES PEDIATRIC CARDIOLOGY, PLLC
Active
Other names
Great Lakes Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL GONZALEZ RANGEL MD (PEDIATRIC CARDIOLOGIST)
(361) 228-5103
Entity
Organization
Contact information
Practice address
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314-1707
(248) 780-9490
(248) 282-0851
Mailing address
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314-1707
(248) 780-9490
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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