Individual
DR. DAVID JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24211 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-1151
(586) 498-0440
(586) 498-0401
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(586) 498-0440
(586) 498-0401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083605
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301083605
MI
208M00000X
Hospitalist Physician
4301083605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306963335
NPI #
MI
05
—
4985319-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
Enumeration date
03/23/2007
Last updated
01/26/2026
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